Patient Financial Specialist

🔥 0 minutes ago

🌴 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 12%

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 through timely and appropriate financial counseling and collections • Collect deductibles, co-pays, co-insurance, self-pay amounts, and other payments • Perform in-depth demographic and financial assessments, generally at the bedside, to determine appropriate payor sources • Assist patients with financial assistance, outside agency referrals, Social Security Administration appointments, and disability determination processes • Interview patients or representatives to obtain accurate demographic and financial information in accordance with HIPAA guidelines • Explain insurance terms and estimated financial responsibility; request and receive 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 monitor Department of Health and Human Services applications • Collaborate with Social Work and Outcomes Management to support appropriate patient care continuums • Maintain revenue cycle knowledge through review of payor regulations and guidelines • Complete special revenue-cycle projects, including complex patient reviews and financial counseling support 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 experience in a service industry may be substituted for the above education/experience requirements • Knowledge of computer systems and financial counseling processes • Ability to analyze demographic and financial information • Ability to follow HIPAA guidelines and compliant processes • Ability to initiate authorization and insurance verification processes • Knowledge of governmental, managed care, and third-party payor regulations and guidelines • Ability to communicate effectively with patients, representatives, peers, clinical departments, payor organizations, and industry organizations