Patient Account Services Specialist

Overview

Manage high dollar outpatient service accounts for the facility to ensure financial reimbursement. Assigned to services with complex procedures, these accounts require initial authorization and either constant monitoring for re-authorization of services (Adult and Peds Infusion, High Tech Radiology, Radiation Oncology and Therapy and others are approved) or spontaneous changing of procedures. Perform referral processing, registration, authorization/precertification as required and until treatment is complete, Point of Service Collections and posting within Epic, financial counseling, including referring patient to appropriate area(s) for assistance, calculates patient financial responsibility and provides estimate, monitor and maintain applicable EPIC work queues, maintains and balances EPIC cash drawer daily.

Secures approvals from third party payers by providing detailed clinical information and/or coordinating peer-to-peer reviews. Secures signatures on regulatory documents. Represents the Financial Division as a member of various intra-operational teams, providing financial perspectives required to make treatment or rescheduling decisions.

• High school diploma or equivalent required

• College degree or related coursework preferred

• Minimum of 1 year of experience as a financial specialist/counselor required
  , or

• Minimum of 3 years of related experience

• Working knowledge of medical and insurance industry terminology required

• Demonstrated ability to:

  • Perform multiple tasks simultaneously

  • Adapt to changing priorities

  • Make timely and accurate judgment decisions

  • Work independently with minimal supervision

• Effective communication skills with healthcare professionals

• Proficiency with computer applications and ability to work across multiple systems

• Exceptional verbal, analytical, and written communication skills

• Ability to remain calm and professional under pressure and in stressful situations

• Must demonstrate professionalism, including appropriate dress, attitude, and understanding of being a “first impression” position

• Employees in this position will not operate vehicles for assigned business purposes

Note: A frequent driver is defined as someone who uses a personal or UF Health vehicle:

• At least once daily,
  or

• At least five trips per week,
  or

• More than 150 miles per week for work purposes

• None required