General Description:

Engage, assist, educate and counsel patients regarding their financial liability for healthcare services. Screen and refer patients to the appropriate agency to apply for state health insurance, and screen patients for GRMC Financial Assistance Program. Establish medical financing arrangements for patients with large financial obligations. Ensures all patient information is correct and contacts patient to verify their self-pay status and follows through monitoring all accounts until paid in full or outsourced to another agency.

Essential Functions:

• Determines patient financial obligation for services. Ensures patients understand their estimated financial obligation and determines how they will meet that obligation.
• Screen patients for eligibility in state insurance programs and GRMC’s Financial Assistance Program.
• Collects payments from patients during the course of their visit.
• Establishes medical financing arrangements for patients facing large financial obligations.
• Reviews all self-pay patient information for accuracy. Reviews all daily face sheets and prepare to contact patient to verify self-pay status.
• Reviews daily census report and verifies insurance/financial classification. Visits patient at bedside to confirm information. Notifies patient/guarantor on hospital options for self-pay admissions.
• Audits self-pay bills for charges, duplications and overlapped accounts before billing, making any necessary adjustments and documenting appropriately.
• Works closely with PFS Account Representatives when insurance information is received through follow-up phones calls to patients/guarantors.
• Receives and answers billing related questions with regard to payment and/or financial arrangements for all self-pay patients and patients with financial responsibility after insurance pays.

Education & Training Requirements:

• Experience or training in healthcare office setting and/or equivalent education or job-related activities is preferred.
• Must possess a high school diploma or equivalent. Bachelor’s degree is preferred.
• Spanish speaking is desirable.
• Knowledge of insurance eligibility requirements, billing and charity care policies is required.
• Leads with empathy and care while playing a key role in ensuring the financial stability of GRMC for our community.
• Requires ability to work cooperatively with other employees, other departments and the public. Ability to prioritize work and meet deadlines is required.
• Ability to handle multiple tasks simultaneously and concentrate in a busy environment is required.
• Ability to use common computer system and business software is necessary.

NOTE: Job description available upon request.
**All required documents must be presented at time of hire.**
EXTERNAL APPLICANT: Employment is contingent upon successful completion of pre-employment drug and alcohol testing.

GRMC is an Equal Opportunity Employer