Patient Financial Specialist

Kirtland, OH - USA

Monthly Salary: Not Disclosed

Posted on: 7 days ago

Vacancies: 1 Vacancy

Job Summary

Full-time

Description

At Signature Health our purpose is to provide integrated healthcare for our community specializing in patients with mental illness and/or addiction because we want people to realize their highest potential. If you align with our core values putting people first striving for excellence in the work you do each day and have a can do mindset then Signature Health is the best place for the next step in your rewarding career. As a full-time employee you will have access to the following employer/employee paid benefits:

Medical Dental Vision 401k match HealthJoy - a no cost medical and mental health online resource available Day 1 and much more
Robust earned paid time off program (PTO)
Federal Loan Forgiveness Program (available on eligible roles)
Professional Development Support

SCOPE OF ROLE

Reporting to the Senior Manager Revenue Cycle the Patient Financial Specialist proactively assess patients to determine the need for financial assistance. The Patient Financial Specialist will create a welcoming professional and efficient experience for patients. The Patient Financial Specialist will be successful in their role by creating an outstanding patient services experience.

HOW YOULL SUCCEED

Proactively screen patients assess the need for authorization identify past due balances assist with challenges with claims and determine benefit eligibility.
Review and audit daily reports to investigate and take action when needed by correcting coverages and balances (including denials co-insurance co-pays etc.).
Ensure thorough completion of patient registration maintaining the accuracy of patient information insurance coverage and guarantor accounts.
Perform as the subject matter expert regarding insurance coverages including identifying correct insurance plans hard stops in the EHR correct filing orders and accepted payers.
Enroll and educate patients in financial assistance programs such as grants sliding scale and self-pay options.
Ensure a consistently excellent patient experience for inbound and outbound phone calls.
Monitor the billing phone line specialist phone line and personal extension and respond with timely outreach via phone call email or other electronic communications.
Demonstrate a high level of understanding surrounding patient balances including understanding of why the patient has a balance options to resolve the balance and correct any errors that may have been made.
Make appropriate linkages to resolve complex financial issues impacting care delivery.
Demonstrate a high level of problem-solving expertise and assist with denied claims; including explaining why the claim was denied if there are any actions that need completed and offering additional options for assistance in resolving the account.
Function as the subject matter experts in Medicare Medicaid sliding scale and grant programs.
Demonstrate efficiency through multi-tasking and organization to ensure all daily tasks are consistently completed.
Participate in all assigned staff meetings and staff development programs.
Other duties as assigned.

Requirements

KNOWLEDGE & EXPERIENCE

High School Diploma or equivalent required.
3-5 years of experience working with payer sources such as Medicare Medicaid and Commercial insurances required.
2-3 years experience in medical billing and/or coding preferred.
Proficient computer skills with a working knowledge of Microsoft Suites required such as Excel Word Teams Outlook.

WORKING CONDITIONS

Work is normally performed in a typical interior/office/clinical work environment.
While hours of operation are generally standard flexibility to work evenings and extended hours may be required.
Requires periods of sitting standing telephone and computer work.
Hearing: adequate to hear clients or patients in person over the telephone or through telehealth technology.
Speaking: adequate to speak to clients or patients in person over the telephone or through telehealth technology.
Vision: Visual acuity adequate to perform job duties including reading information from printed sources and computer screens.
Physical effort required: occasional lifting and carrying items weighing up to 15 pounds unassisted.
Possible exposure to blood borne pathogens while performing job duties.
Frequent bending reaching and repetitive hand movements standing walking squatting and sitting with some lifting pushing and pulling exerted regularly throughout a regular workday.
Sufficient dexterity to operate a PC and other office equipment.

This Success Profile is not an exhaustive list of all functions or requirements that you may be required to perform; you may be required to perform other job-related assignments as requested by your supervisor or the company. You must be able to perform the essential functions of the position satisfactorily; however if requested reasonable accommodations may be made to enable you to perform the essential functions of this job absent undue hardship. Signature Health may revise this Success Profile at any time with or without advanced notice.

All employees of Signature Health are required to comply with the Signature Health Annual Influenza Vaccination Policy. This policy requires employees to obtain an annual flu vaccination. A medical and/or religious exemption may be submitted for review by the Signature Health Review Committee. Exemption requests are not guaranteed to be approved. Signature Health is a drug-free workplace. After receiving a conditional job offer all applicants must successfully pass a pre-employment drug screen.

Required Experience:

Full-timeDescriptionAt Signature Health our purpose is to provide integrated healthcare for our community specializing in patients with mental illness and/or addiction because we want people to realize their highest potential. If you align with our core values putting people first striving for excel...

Full-time

Description

Medical Dental Vision 401k match HealthJoy - a no cost medical and mental health online resource available Day 1 and much more
Robust earned paid time off program (PTO)
Federal Loan Forgiveness Program (available on eligible roles)
Professional Development Support

SCOPE OF ROLE

HOW YOULL SUCCEED

Proactively screen patients assess the need for authorization identify past due balances assist with challenges with claims and determine benefit eligibility.
Review and audit daily reports to investigate and take action when needed by correcting coverages and balances (including denials co-insurance co-pays etc.).
Ensure thorough completion of patient registration maintaining the accuracy of patient information insurance coverage and guarantor accounts.
Perform as the subject matter expert regarding insurance coverages including identifying correct insurance plans hard stops in the EHR correct filing orders and accepted payers.
Enroll and educate patients in financial assistance programs such as grants sliding scale and self-pay options.
Ensure a consistently excellent patient experience for inbound and outbound phone calls.
Monitor the billing phone line specialist phone line and personal extension and respond with timely outreach via phone call email or other electronic communications.
Demonstrate a high level of understanding surrounding patient balances including understanding of why the patient has a balance options to resolve the balance and correct any errors that may have been made.
Make appropriate linkages to resolve complex financial issues impacting care delivery.
Demonstrate a high level of problem-solving expertise and assist with denied claims; including explaining why the claim was denied if there are any actions that need completed and offering additional options for assistance in resolving the account.
Function as the subject matter experts in Medicare Medicaid sliding scale and grant programs.
Demonstrate efficiency through multi-tasking and organization to ensure all daily tasks are consistently completed.
Participate in all assigned staff meetings and staff development programs.
Other duties as assigned.

Requirements

KNOWLEDGE & EXPERIENCE

High School Diploma or equivalent required.
3-5 years of experience working with payer sources such as Medicare Medicaid and Commercial insurances required.
2-3 years experience in medical billing and/or coding preferred.
Proficient computer skills with a working knowledge of Microsoft Suites required such as Excel Word Teams Outlook.

WORKING CONDITIONS

Work is normally performed in a typical interior/office/clinical work environment.
While hours of operation are generally standard flexibility to work evenings and extended hours may be required.
Requires periods of sitting standing telephone and computer work.
Hearing: adequate to hear clients or patients in person over the telephone or through telehealth technology.
Speaking: adequate to speak to clients or patients in person over the telephone or through telehealth technology.
Vision: Visual acuity adequate to perform job duties including reading information from printed sources and computer screens.
Physical effort required: occasional lifting and carrying items weighing up to 15 pounds unassisted.
Possible exposure to blood borne pathogens while performing job duties.
Frequent bending reaching and repetitive hand movements standing walking squatting and sitting with some lifting pushing and pulling exerted regularly throughout a regular workday.
Sufficient dexterity to operate a PC and other office equipment.

Required Experience:

Key Skills

Financial Services
Financial Models
Account Management
General Ledger Accounts
ERP
Payroll
External Auditors
Customer Relationships
Credit Card
Financial Statements
Business Units
Annual Budget
Income
New Clients
Financial Management

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About Company

Signature Health

Signature Health, Inc. is a community-based agency dedicated to providing a wide range of services to adults, children, adolescents and families who are experiencing mental health and/or substance abuse problems. Promising immediate access to clients and referral sources, Signature He ... View more

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