Patient Financial Specialist

🕒 September 29

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 25%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Prisma Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Prisma Health is a comprehensive health care provider offering a wide range of medical services to ensure individuals achieve their healthiest state. With numerous locations, advanced technology, and expert specialists, Prisma Health provides accessible and convenient care. Services include primary care, specialized heart, cancer, women's, and children's health, as well as same-day and telehealth options. Prisma Health emphasizes community outreach and education to support overall health and wellness.

📋 Description

• Resolve patient accounts timely and appropriately in accordance with organizational goals • Collect deductibles, co-pays, co-insurance, and payments toward self-pay accounts • Perform in-depth demographic and financial assessments, generally at the bedside, to determine appropriate payor sources • Assist patients and contact outside agencies, including Vocational Rehabilitation, Department of Health and Human Services, and Social Security Administration • Collaborate with Social Work and Outcomes Management to support appropriate patient care transitions • Interview patients or representatives to obtain complete and accurate demographic and financial information • Analyze collected information and ensure patients receive consideration for financial assistance • Eliminate all possible payor sources before considering hospital sponsorship • Explain estimated financial responsibility and insurance terms; request and process payments and issue receipts • Monitor high-dollar accounts and ensure accurate information for timely submission and reimbursement • Initiate authorization and insurance verification processes and communicate changes to relevant departments • Coordinate and delegate referrals to the Department of Health and Human Services and monitor application completion • Maintain professional relationships with patients, peers, clinical departments, payor organizations, and industry organizations • Maintain revenue cycle knowledge through review of payor regulations and guidelines • Explore payor source options such as COBRA, liability, workers' compensation, and governmental agencies • Contact Social Security Administration, schedule appointments, assist with interviews and forms, and facilitate disability determinations • Coordinate referrals to outsource vendors for post-discharge follow-up • Complete revenue-cycle special projects, including complex patient review, Communicare coordination, and financial counseling at other facilities • Escalate issues to appropriate management

🎯 Requirements

• High School diploma or equivalent OR Post High School Diploma • 3 years of Health Care Revenue Cycle Experience, such as Billing, Collections, and/or Customer Service • Bachelor's degree and 3 years of experience in a service industry may be substituted for the stated education/experience requirements • Knowledge of computer systems and financial counseling processes • Knowledge of governmental, managed care, and other third-party payor regulations and guidelines • Ability to perform demographic and financial assessments • Ability to analyze financial information and determine appropriate payor sources • Ability to follow HIPAA guidelines • Ability to communicate effectively with patients, representatives, departments, payor organizations, and agencies • Ability to coordinate referrals and assist with applications and disability determination processes

🏖️ Benefits

• 100% remote work arrangement • Participation in departmental training and career developmental opportunities