Patient Financial Specialist

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, Health Joy - 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

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.

• 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

• 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.

• 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…