Patient Estimates Analyst II - Patient Access - Full Time

POSITION SUMMARY

The Patient Estimates Analyst will have two main areas of responsibility in this role: responsibility for identifying and calculating estimated patient liability for scheduled and unscheduled services and the build and maintenance of new and existing estimate templates.

ACCOUNTABILITIES

• Keep ProMedica’s mission, “To improve your health and well-being,” as the foundation of employment.
• Demonstrate personally and foster a work environment that includes ProMedica’s Values, Compassion, Innovation, Teamwork, and Excellence.
• Provides excellent service and timely support to ensure quality of patient care.
• Follow ProMedica IT best practices for change management, documentation, and testing.
• Build and test new estimate templates as needed.
• Maintain Epic estimates build for existing templates, including WQ structures, operational workflows, and RTE accuracy.
• Audit estimate performance for common issues. Escalate issues beyond the scope of this role to the Manager II, Patient Access.
• Participate in IT testing and training efforts related to Epic functionality that utilizes estimates. Review Nova Notes for contract related updates in Epic upgrades and advise on any necessary changes.
• Performs assessment and collections activity on pre-service scheduled appointments to resolve future and previous financial risk or escalate for appropriate review and approval in a timely manner.
• Generate patient estimation of services as applicable and collect the specific deposit amount as outlined in the ProMedica policy.
• Monitor, prioritize, collect, and resolve scheduled services for self-pay patients.
• Assist patients with payment plan arrangements including collecting the initial deposit amount as part of the process following established departmental policy.
• Identify other options to resolve financial obligation that results in financial clearance.
• Continues to learn about industry leading practice to share and adopt as appropriate with leadership.
• Understand, explain, execute, and help determine eligibility for financial assistance programs.
• Works with internal and external resources as appropriate to support the patient with their education and understanding of coverage and/or payment options.
• Consistently communicates issues and helps to review and implement people, process, and technology improvement as appropriate.
• Other duties as assigned

• Education: High school diploma or equivalent.
• Skills: Exceptional client service, communication, and relationship building skills. Investigative/research skills required to identify financial options for patients. Must demonstrate advanced analytical and problem-solving skills. Knowledge of medical claim submission, managed care insurance requirements, government regulations, and third-party payers is essential. Self-motivated, works independently and consistently demonstrates the ability to perform with little to no supervision in a fast-paced environment.
• Years of Experience: Minimum 3 years’ experience in revenue cycle or healthcare related field.

WORKING CONDITIONS

• Personal Protective Equipment: Face mask and goggles (if applicable) as recommended by the CDC.
• Physical Demands: Occasionally lifts/carries/pushes/pulls up to 25 pounds. Frequent, prolonged standing/walking/sitting.
  

ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org

Equal Opportunity Employer/Drug-Free Workplace