Description

POSITION SUMMARY:

Patient Financial Services provides assistance in verification, correction, and insurance applications to patients who are underinsured or uninsured, is liaison between patient, insurance, and facility. Communicates changes and updates to billing, UR/sites, and leadership. Meets with patients in person and via phone to resolve any insurance issues both during their stay and after discharge. This position is a hybrid position. 50% remote 50% onsite.

ESSENTIAL JOB FUNCTIONS:

• Assists with insurance, authorizations, and claims issues due to insurance problems in both inpatient and outpatient, via direct communication with the patient, insurance company, finance/billing teams, and providers/clinicians.

• Assists with patient eligibility verification and enters information into billing systems.

• Meets with patients directly in person and via telephone to resolve insurance issues both during their stay and after discharge.

• Works with insurance to resolve any patient/member related issues.

• Meets/ communicate with identified patients to obtain/copy accurate insurance and demographic information.

• Verifies patient identification, demographic, and insurance information inputted in patient billing system.

• Maintains ongoing contact with identified patient while admitted and after discharge to assist to resolve any insurance issues. 

• Assists identified patients who are uninsured or underinsured to complete or renew an application with Medicaid or other insurer as indicated, including the completion of releases to allow representative to speak with Medicaid. 

• Provides education and assistance to identified patients, with phone calls to their insurance to assist with the completion of coordination of benefits.

• Follows up with patient and insurers when there is a change in insurance or eligibility as directed by billing manager. 

• Communicates authorization updates, insurance updates, and 

• Works with all areas of the organization in obtaining any necessary or requested documentation from patients, insurance carriers or finance. 

• Provides timely tracking and updates on pending insurance issues that they are working on to billing manager, billing team, and leadership. 

• Responds to all patient/insurance phone calls in a professional, efficient and courteous manner.

• Documents appropriate notes in the billing system for every account, including action taken.

• May initiate contact with patients and/or third-party carriers if there is a delay in responding to statements or claims.

• Other duties as assigned.

#INDBH#2

Qualifications

MINIMUM QUALIFICATIONS:

• 2 years experience in General Office and Computer Data Entry, medical/behavioral health insurance verification and assistance. Knowledge of insurances, basic medical/behavioral health terminology.
• Ability to provide excellent service to internal and external customers.
• Ability to effectively listen, process received information, and express ideas in a professional manner both orally and in writing. 
• Ability to initiate action, take personal responsibility, suggest improvements, and solve problems within scope of job without being asked.
• Ability to understand and comply with government, regulatory, and hospital rules.
• Ability to record, report, and maintain confidentiality of information and respond to requests for information.
• Ability to get assigned work done in an acceptable manner, in the time allotted, with minimal prompting or reminders.

PREFFERED: 

• Bilingual in Spanish 
• Certified Medicaid Application Counselor