Patient Financial Services Specialist Job at Beacon Hill (Dedham)

Patient Financial Specialist

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Responsible for professional and effective written and verbal communication with both internal and external customers
Compliant with all CHRISTUS Health, payer, and government regulations
Exhibits a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines

Fulltime

Patient Financial Specialist

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
Post HS education preferred
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Maintains working knowledge of all functions within the Revenue Cycle
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution

Fulltime

Patient Access Specialist

We are looking for a dedicated Patient Access Specialist to join our team in Lew...

Location

United States , Lewiston

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in customer service, preferably in a healthcare or administrative setting
Strong administrative skills, including attention to detail and organizational abilities
Proficiency in data entry with a focus on accuracy and efficiency
Familiarity with insurance verification and collections processes
Ability to handle sensitive patient information with discretion and professionalism
Excellent communication skills to explain forms and processes clearly to patients
Knowledge of medical terminology and compliance standards is an advantage
Capability to work independently and as part of a team to meet operational goals.

Job Responsibility

Accurately assign medical record numbers (MRNs) and perform medical necessity checks while ensuring compliance with policies and procedures
Collect and verify insurance details, process physician orders, and provide clear patient instructions while maintaining a high level of customer service
Conduct pre-registration for patients, including obtaining demographic and insurance information, explaining financial responsibilities, and managing payment collections
Explain and distribute consent forms, Medicare-related documents, and other patient education materials, ensuring all necessary signatures are obtained
Review insurance eligibility responses, select appropriate plan codes, and input benefit information to support billing and collections processes
Screen medical necessity using designated software and inform patients of potential non-payment risks, distributing relevant forms and documentation
Utilize auditing systems to review accounts for accuracy, correct errors, and provide statistical data to leadership
Conduct inbound and outbound calls to gather patient information and address outstanding balances, offering payment plan options as needed
Meet assigned point-of-service goals while consistently delivering compassionate and attentive interactions.

What we offer

Medical, vision, dental, and life and disability insurance
Company 401(k) plan
Free online training.

Fulltime

Patient Access Specialist

We are looking for a dedicated Patient Access Specialist to join our team in Bet...

Location

United States , Bethel Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in patient registration, scheduling, or related healthcare roles
Strong skills in medical insurance verification and understanding of compliance standards
Excellent interpersonal and communication abilities to assist patients and provide exceptional service
Proficiency in using auditing systems and reporting tools for account corrections
Ability to manage inbound and outbound calls to collect patient information and financial liabilities
Familiarity with consent forms and patient education materials
Detail-oriented with the capability to meet point-of-service collection goals
Adept at working with insurance verification systems and maintaining clean claim rates

Job Responsibility

Accurately assign medical record numbers (MRNs) and complete compliance checks to ensure proper patient documentation
Provide clear and compassionate instructions to patients while collecting insurance information and processing physician orders
Meet assigned point-of-service goals through efficient and precise handling of patient accounts
Conduct audits of patient accounts to ensure accuracy and compliance, generating statistical reports for leadership as needed
Perform pre-registration tasks by contacting patients to gather demographic, insurance, and financial information, including past due balances
Explain and obtain signatures for general consent forms, distributing educational documents to patients and guardians
Verify insurance eligibility and input benefit data into the system to support billing and point-of-service collections
Screen medical necessity using approved software, informing patients of potential non-payment scenarios when applicable

What we offer

medical
vision
dental
life and disability insurance
401(k) plan
free online training

Fulltime

Financial Advocate

Acts as a liaison between health services and the consumer to provide education ...

Location

United States , Grafton

Salary:

22.90 - 34.35 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Typically requires 2 years of experience in Patient Access, health care, insurance industry, or in a customer service setting
High School Graduate, or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED)
Ability to communicate clearly and proactively to management about issues involving customer service and process improvement opportunities
Ability to articulate explanations of HIPAA and EMTALA regulations as they relate to all patient interactions within the operational flow involving the Financial Advocate, either virtually or in person
Has solid knowledge of how various types of insurances operate related to denials and appeals processes
Basic medical coding knowledge
Understanding of insurances, billing and denials
Ability to use a combination of scripted notes and clear, written communication when documenting in patients’ accounts

Job Responsibility

Acts as a liaison between health services and the consumer to provide education on costs, funding possibilities and payment options
Educates consumers on the cost of care and assists them in the planning and management of their financial responsibility
Pre-screens self-pay patients to determine if they are eligible for coverage programs and assists patients or family members with completing financial assistance applications, as necessary
Calculates and provides patients with personalized estimates of their financial responsibility based on their insurance coverage prior to service
Communicates patient liability clearly and accurately while adequately explaining concepts such as deductibles, coinsurance, and/or copayments and how they may affect the cost of care
Explains how non-covered and out-of-network services factor into the out-of-pocket cost
Requests upfront payment toward self-pay amounts, including estimated out-of-pocket costs and outstanding previous balances
Establishes payment arrangements in advance of scheduled services when applicable, communicating due dates and the amount of each installment
Interviews uninsured patients to assess for qualifying financial needs
Identifies available assistance programs and coordinates with patient to complete paperwork and applications for any potential coverage(s)

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance

Fulltime

New

Financial Advocate

Acts as a liaison between health services and the consumer to provide education ...

Location

United States , Grafton

Salary:

22.90 - 34.35 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Typically requires 2 years of experience in Patient Access, health care, insurance industry, or in a customer service setting
Ability to communicate clearly and proactively to management about issues involving customer service and process improvement opportunities
Ability to articulate explanations of HIPAA and EMTALA regulations as they relate to all patient interactions within the operational flow involving the Financial Advocate, either virtually or in person
Has solid knowledge of how various types of insurances operate related to denials and appeals processes
Basic medical coding knowledge
Understanding of insurances, billing and denials
Ability to use a combination of scripted notes and clear, written communication when documenting in patients’ accounts
High School Graduate, or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED).

Job Responsibility

Acts as a liaison between health services and the consumer to provide education on costs, funding possibilities and payment options
Educates consumers on the cost of care and assists them in the planning and management of their financial responsibility
Pre-screens self-pay patients to determine if they are eligible for coverage programs and assists patients or family members with completing financial assistance applications, as necessary
Calculates and provides patients with personalized estimates of their financial responsibility based on their insurance coverage prior to service
Communicates patient liability clearly and accurately while adequately explaining concepts such as deductibles, coinsurance, and/or copayments and how they may affect the cost of care
Explains how non-covered and out-of-network services factor into the out-of-pocket cost
Requests upfront payment toward self-pay amounts, including estimated out-of-pocket costs and outstanding previous balances
Establishes payment arrangements in advance of scheduled services when applicable, communicating due dates and the amount of each installment
Interviews uninsured patients to assess for qualifying financial needs
Identifies available assistance programs and coordinates with patient to complete paperwork and applications for any potential coverage(s)

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

New