What are the responsibilities and job description for the Financial Assistance Specialist position at St. Charles Health System?
The Financial Assistance Specialist is responsible for reviewing and processing all financial assistance applications received by St. Charles Health System according to the financial assistance program guidelines established by St. Charles Health System. This position does not directly manage any other caregivers.
Essential Functions And Duties
Provide patients with financial assistance applications, track and process all documentation required to evaluate patients for assistance programs.
Process financial assistance applications in alignment with all applicable policies, procedures and regulatory guidelines.
Manage financial assistance application processing within regulated timelines, including applying account holds and vendor activities, such as temporary holds from collection activities or account recalls.
Follow up with patients regarding incomplete financial documentation to finalize financial application process.
Complete presumptive financial assistance screenings in alignment with all applicable policies, procedures and regulatory guidelines.
Answer customer service inquiries from patients and other departments received via mail, phone and email.
Reviews/works reports and queues.
Maintains productivity and quality standards.
Post applicable financial assistance adjustments in SBO health information systems following detailed review of account balances, coverage eligibility, financial assistance exclusions, applicable policies, procedures and regulatory guidelines.
Update and maintain federal poverty guideline information and other regulatory requirements that impact policy or internal application processing procedures.
Enter clear and concise documentation in the SBO health information system(s).
Review and verify insurance eligibility and correspondence.
Maintain knowledge of department and organizational structure, workflow, and operating procedures.
Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Supports the vision, mission and values of the organization in all respects.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
May perform additional duties of similar complexity within the organization, as required or assigned.
EDUCATION
Required: High school diploma or GED
Preferred: N/A
LICENSURE/CERTIFICATION/REGISTRATION
Required: N/A
Preferred: Certified Healthcare Financial Professional (CHFP), Certified Revenue Cycle Representative (CRCR), Certified Specialist Account and Finance (CSAF), Certified Specialist Payment and Reimbursement (CSPR).
Experience
Required: N/A
Preferred: Two years of experience in a healthcare setting or other relevant office environment.
Essential Functions And Duties
Provide patients with financial assistance applications, track and process all documentation required to evaluate patients for assistance programs.
Process financial assistance applications in alignment with all applicable policies, procedures and regulatory guidelines.
Manage financial assistance application processing within regulated timelines, including applying account holds and vendor activities, such as temporary holds from collection activities or account recalls.
Follow up with patients regarding incomplete financial documentation to finalize financial application process.
Complete presumptive financial assistance screenings in alignment with all applicable policies, procedures and regulatory guidelines.
Answer customer service inquiries from patients and other departments received via mail, phone and email.
Reviews/works reports and queues.
Maintains productivity and quality standards.
Post applicable financial assistance adjustments in SBO health information systems following detailed review of account balances, coverage eligibility, financial assistance exclusions, applicable policies, procedures and regulatory guidelines.
Update and maintain federal poverty guideline information and other regulatory requirements that impact policy or internal application processing procedures.
Enter clear and concise documentation in the SBO health information system(s).
Review and verify insurance eligibility and correspondence.
Maintain knowledge of department and organizational structure, workflow, and operating procedures.
Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Supports the vision, mission and values of the organization in all respects.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
May perform additional duties of similar complexity within the organization, as required or assigned.
EDUCATION
Required: High school diploma or GED
Preferred: N/A
LICENSURE/CERTIFICATION/REGISTRATION
Required: N/A
Preferred: Certified Healthcare Financial Professional (CHFP), Certified Revenue Cycle Representative (CRCR), Certified Specialist Account and Finance (CSAF), Certified Specialist Payment and Reimbursement (CSPR).
Experience
Required: N/A
Preferred: Two years of experience in a healthcare setting or other relevant office environment.