Manages high-dollar outpatient service accounts for the facility to ensure financial reimbursement. 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/precertification as required and until treatment is complete; point-of-service collections and posting within Epic; financial counseling, including referring patient to appropriate area(s) for assistance; calculating patient financial responsibility and providing estimate; monitoring and maintaining applicable Epic work queues; and maintaining and balancing 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 intraoperational 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 course work desired.
• Minimum of 1 year of experience as a financial specialist/counselor required or 3 years of relative experience.
• A working knowledge of medical and insurance industry terminology is required.
• Must have experience that demonstrates ability to perform multiple tasks simultaneously, recognize and react to changing priorities, and make timely and accurate judgement decisions.
• Effectively communicates with the health care professionals and works independent of direct supervision.
• Proficiency in applications, as well as 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.