Job Description
The Financial Assistance Specialist is responsible for ensuring all self-pay and/or insured patients have access to receiving a financial screening for assistance with payment options including finding a payor source for the patient’s out-of-pocket liability during the pre-registration or after discharge process. This position directly communicates with patients about out-of-pocket liabilities with expectation of collection with a respectful, caring, and professional manner. This position also
Responsibilities
- Initiates all financial arrangements, assists with payment options and screens patients for financial assistance or directs to Medicaid screeners during the registration process.
- Reviews all centralized scheduling and VIBE teams referrals from scheduled outpatient visits prior to service date to ensure all self-pays, and high dollars out-of-pocket insured accounts have received financial dialogue regarding payment options.
- Reviews all verified inpatient accounts or any new self-pay admission within 24 hours of admission to ensure all self-pays, and or any insured accounts with an out-of-pocket liability have received financial dialogue regarding payment options.
- Ensure all aspects of pre-registration is completed, which includes verification of insurance and benefits, verification of patient demographic, verification of medical necessity, receipt of authorizations when needed, financial clearance, and financial dialogue is completed for each and every account under review.
- Provides out-of-pocket liabilities information and collection requirements (utilizing the software tools necessary) for patients, check in staff, or registrars through the registration process (prior to services, at check-in, & through discharge) which includes co-pays, co-insurance, and deductibles.
- Provides patients and ordering physicians with information regarding needed authorization prior to patient’s arrival.
- Meets BHC as well as Industry Standards for accuracy of pre-registrations and financial clearance standards.
- Provides patients with information regarding financial arrangements and/or financial assistance when needed, plus documents information into patient accounting system.
- Communicates directly with the patients 3 to 5 days prior to arrival with information about co-pay, co-insurance and deductible amounts due at time of service (makes 3 attempts to contact patient prior to visit).
Qualifications
Minimum education
- High School Diploma or Equivalent Required
Minimum Work experience
- 1-3 years Relevant revenue cycle experience Required
- 1-3 years Experience as a financial counselor, customer service representative, registrar, or scheduler Preferred
Required Skills, Knowledge and Abilities
- Knowledge of medical terminology.
- Written and verbal communication skills.
- Knowledge of Medicare regulations and coding.
- Computer skills including Excel and Word.
- Specific applications to use PC applications to achieve work goal.
- Office applications: email, fax module, scan PDF.
- Ability to work in a fast-paced work environment.
- Ability to meet deadlines.
- Organized.
- Time management.
- Conforming to standards.
- Excellent phone customer service and face-to-face customer service,
- Knowledge of patient collection process, scheduling, registration, audit techniques, healthcare financial regulations.
- Work well with other departments to achieve goal
- Knowledge of insurance collections process.
- Interprets insurance coverage and reimbursement.
- Ability to follow patient privacy guidelines and policies.
- Coordination patient needs with various service levels.
- Works well within a team structure
- Knowledge of patient financial solutions options.
About Us
Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.
Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law.