Patient Financial Specialist, FT, Days
About The Position
Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for assuring up front collection process is followed with copays and coinsurance being collected at time of service or appropriate payment plans are set. Also responsible for working with patients on surgery deposits and/or payment plans. This includes working as a team with the front office and check out staff to collect at or above percentage rate set forth by practice management. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Completes pre-visit preparation completed in the time frame designated by manager including review of self-pay. Chart Prep: Run schedules for all physicians 2 days out; review accounts for outstanding self-pay. Provides information for check in staff, check out staff, or athletic trainers (based on office protocol) via hard copy or with notes in ECW. Obtains pre-certifications or authorizations if needed, verify insurance coverage, make phone calls to patients if indicated, add financial comments to accounts. Verifies patient's insurance, calculate the patient's liability using the method determined by the manager, including outstanding balances for all services, print estimates, and collect the amount due. Discusses with patient face to face or send deposit letter with return envelope. Sets up payment plans. Answers patient calls. Works with UMG PBO on payment plan issues. Completes customer service log. Reviews invoices for charity or SUN discounts. Assists in front office functions as needed to check balances, print self-pay letters. Assists in all other front office functions as needed. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive.
Requirements
- Education - High School diploma or equivalent OR post-high school diploma/highest degree earned
- Experience - Two (2) years of relevant healthcare experience, including but not limited to: Patient Services Rep, Physician Practice Front Office, Billing, Insurance, etc.
- Communication skills
Nice To Haves
- Multi-specialty group practice setting experience preferred
Responsibilities
- Assuring up front collection process is followed with copays and coinsurance being collected at time of service or appropriate payment plans are set.
- Working with patients on surgery deposits and/or payment plans.
- Completes pre-visit preparation completed in the time frame designated by manager including review of self-pay.
- Chart Prep: Run schedules for all physicians 2 days out; review accounts for outstanding self-pay.
- Provides information for check in staff, check out staff, or athletic trainers (based on office protocol) via hard copy or with notes in ECW.
- Obtains pre-certifications or authorizations if needed, verify insurance coverage, make phone calls to patients if indicated, add financial comments to accounts.
- Verifies patient's insurance, calculate the patient's liability using the method determined by the manager, including outstanding balances for all services, print estimates, and collect the amount due.
- Discusses with patient face to face or send deposit letter with return envelope.
- Sets up payment plans.
- Answers patient calls.
- Works with UMG PBO on payment plan issues.
- Completes customer service log.
- Reviews invoices for charity or SUN discounts.
- Assists in front office functions as needed to check balances, print self-pay letters.
- Assists in all other front office functions as needed.
- Performs other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
