Patient Financial Specialist

🕒 il y a 1 mois

🌴 South Carolina – Distant

infoinfo

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

💸 Planification et Analyse Financières (FP&A)

🗣️🇺🇸🇬🇧 Anglais requis

D'où vient cette offre

Publiée sur la page carrières de Prisma Health, pas via un site d'emploi

Repérée par Remote Rocketship il y a 1 mois

Toujours ouverte sur le site de Prisma Health. Vérifiée il y a 17 minutes.

Logo of Prisma Health

Prisma Health

10 000+ employés

🏥 Santé

⚕️ Assurance santé

Healthcare • Healthcare Insurance

Prisma Health est un fournisseur de soins de santé complet offrant une large gamme de services médicaux pour garantir que les individus atteignent leur état de santé optimal. Avec de nombreux emplacements, une technologie avancée et des spécialistes experts, Prisma Health offre des soins accessibles et pratiques. Les services incluent les soins primaires, la santé spécialisée du cœur, le cancer, la santé des femmes et des enfants, ainsi que des options de téléconsultation et de soins le jour même. Prisma Health met l'accent sur l'engagement communautaire et l'éducation pour soutenir la santé et le bien-être global.

Description

• Collect deductibles, co-pays, co-insurances, and payments toward self-pay accounts • Conduct 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 the appropriate continuum of care • Interview patients or representatives to obtain complete and accurate demographic and financial information • Follow assigned accounts timely and accurately and assess eligibility for financial assistance • Eliminate possible payor sources before considering hospital sponsorship • Communicate estimated financial responsibility and request payment before or at the time of service • Receive payments and issue receipts according to cash-handling procedures • Monitor high-dollar accounts and ensure information is complete and accurate for 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 • Review payor regulations and guidelines and participate in departmental training and career development opportunities • Contact the Social Security Administration, schedule appointments, assist with interviews and forms, and facilitate disability determinations • Coordinate referrals to outsource vendors for cases requiring post-discharge follow-up • Complete special revenue-cycle projects, participate in the complex patient review team, coordinate processes with Communicare, and assist with financial counseling at other facilities • Escalate issues to appropriate management

🎯 Exigences

• 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 • Alternatively, a Bachelor's degree and 3 years of experience in a service industry may be substituted for the above 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 work in accordance with HIPPA Guidelines • Ability to analyze demographic and financial information and determine appropriate payor sources • Ability to communicate insurance terms and estimated financial responsibility to patients • Ability to initiate authorization and insurance verification processes • Superior interpersonal relationship skills • Work authorization/location indicated as United States of America

🏖️ Avantages

• Full-time day-shift position • 100% remote work

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