POSITION SUMMARY/RESPONSIBILITIES

Secures and obtains accurate patient data for complete financial clearance of admission of various admission types and locations. Interviews patients to determine accurate funding source information. Determines benefit level, coordination of benefits, coinsurance amounts for hospital and clinic services using knowledge of insurance verification. Supports the functions of pre-certification, referral coordination, and financial counseling. Communicates with unfunded patients about service charges and assists patient with payment arrangements. Collects copays, coinsurance and other monies that may be owed by patient. Reviews accounts to ensure proper financial clearance for timely and correct reimbursement for services rendered at UH

EDUCATION/EXPERIENCE

High school diploma, GED, or equivalent experience required. One (2) year of financial counseling related experience in a hospital/physician office setting required and three (3) years’ experience preferred. Experience and knowledge in obtaining insurance benefits, pre-certification and collection of monies is required. Knowledge in hospital contracts, in-network vs. out-of-network benefits and negotiations is preferred. Basic medical terminology and ICD 9 coding experience is preferred. Must be able to communicate effectively through verbal and written forms of communication