Address
Form of workManages high-dollar outpatient service accounts for the facility to ensure financial reimbursement. The incumbent will be assigned to services with complex procedures. These accounts require initial authorization and either constant monitoring for re-authorization of services (adult and peds infusion, high-tech radiology, Radiation Oncology and therapy and others are approved) or spontaneous changing of procedures. Performs referral processing, registration and authorization/pre-certification, as required and until treatment is complete; point-of-service collections and posts within Epic; financial counseling, including referring patients to appropriate area(s) for assistance; calculates patient financial responsibilities and provides estimates; monitors and maintains applicable Epic work queues; and maintains and balances Epic cash drawer daily. Secures approvals from third-party payers by providing detailed clinical information and/or coordinating peer-to-peer reviews. Secures signatures on regulatory documents. Represents the Financial Division as a member of various intra-operational teams, providing financial perspectives required to make treatment or rescheduling decisions.
Minimum Education and Experience Requirements:
- High school graduate or equivalent is required. College degree or related coursework desired.
- Minimum of one year of experience as a Financial Specialist/counselor required or three years of relative experience.
- A working knowledge of medical and insurance industry terminology is required.
- Must have experience that demonstrates the ability to perform multiple tasks simultaneously, recognize and react to changing priorities and make timely and accurate judgment decisions.
- Effectively communicates with the health care professionals and works independent of direct supervision.
- Proficiency in applications, as well as a demonstrated ability to work with multiple computer systems, is required.
- Must be able to demonstrate exceptional verbal, analytical and written communication skills.
- Must be adaptable, tactful and able to work well under pressure.
- Must be able to perform under stress when confronted with critical or unusual situations.
- Applicant must demonstrate an understanding of "first impression" position and the need for appropriate dress, attitude and concern with the position.
