Financial-Benefit Coordinator

General Summary:
A nonexempt position responsible for proactively managing the patient responsibility portion of the Accounts Receivable (AR). Financial Coordinator is responsible for making sure CNS Financial Policy is understood by all patients. Financial Coordinator will proactively work with patients to perform benefits investigation, educate patients regarding their plan benefits, collect prepayments, and monitor and collect outstanding balances to minimize outstanding AR.

Essential Job Responsibilities
1. Has complete understanding of the Financial Policy.
2. Is able to communicate terms of Financial Policy to patients for full comprehension of payment expectations.
3. Has an expert level of knowledge regarding insurance benefits, coordination of benefits, insurance verification, benefits investigation and payer network participation.
4. Is friendly and courteous to patients while educating and communicating expectations.
5. Ability to successfully obtain estimated patient responsibility for all assigned CNS service lines, communicate estimated responsibility to patients and collect estimated patient responsibility portion of claim.
6. Will work collaboratively with billing department and front desk to ensure there is a complete understanding related to patient’s financial plan.
7. Responsible for Point of Service Collections for patient outstanding balances.
8. Responsible for setting up payment plans within practice guidelines for patients who cannot pay balance in full.
9. Assists patients with financial applications; Educates applicants regarding terms, interest rates, and re-payment obligations.
10. Responsible for processing accounts following the procedures outlined in the department’s PreCollection policy and procedure.
11. Must be able to work independently and multi task.
12. Other duties, as assigned.

Education / Experience:
1. Minimum High School Diploma or GED, Some college preferred
2. 2 years experience performing accounts receivable related duties in a medical practice billing office
3. Experience working with the public via telephone and face-to-face conversation required

Performance Requirements:
Knowledge:
1. Knowledge of billing practices and medical office policies and procedures.
2. Knowledge of medical coding (CPT and ICD-10), clinic operating policies and third-party operating procedures and practices.
3. Knowledge of legal and regulatory government provisions.
4. Knowledge of HIPAA Privacy and Security rules.
5. Knowledge of common computer programs; Word, Excel, Internet.

Skills:
1. Skill in establishing and maintaining effective internal and external working relationships.
2. Skill in verbal and written communication with patients and insurances.
3. Skill in accuracy and detail with respect to demographics data and figures.

Abilities:
1. Ability to read and explain an explanation of benefits form from insurance carriers.
2. Ability to educate patients regarding their individual benefit plan, the practice Financial Policy, and our expectations regarding patient financial responsibility.
3. Ability to communicate effectively and assertively while demonstrating compassion and empathy for patient’s individual situations.
4. Ability to work in team based work setting which places patient satisfaction as the major focal point for measuring success.
5. Ability to demonstrate compassion and caring in dealing with others.
6. Ability to project a pleasant and professional image.
7. Ability to effectively articulate information and respond to questions.
8. Ability to relate to and work well with a diverse community population.
9. Ability to work under pressure.
10. Ability to work cooperatively with other department staff.
11. Ability to plan, prioritize, and complete delegated tasks in an appropriate timeframe.
12. Ability to read, interpret and apply policies and procedures.
13. Ability to set priorities among multiple requests.
14. Ability to interact with patients, medical and administrative staff, and the public effectively.
15. Ability to work with computers.

Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.

Work Environment: Position is in a well-lighted, well-ventilated, adequate space.

Mental/Physical Requirements: Involves sitting approximately 80 percent of the day, walking or standing the remainder with light lifting (10-30 lbs.) occasionally required.