Financial Assistance Specialist Job Reno area,Nevada USA,Healthcare

Position Purpose

Performs Financial Specialist functions through the accurate gathering of demographic, sponsorship or guardian data, insurance, financial and statistical information from a variety of sources, including patients, families, physicians, and government agencies. The Financial Assistance Specialist ensures patients without a payer source are screened and assisted with applications for government, local, or charity programs, as well as the Financial Assistance Program (FAP) for Renown.

The responsibilities include but are not limited to:

Obtaining and accurately entering demographic and financial information into the system.

Identifying insurance payer sources and payer order sequence.

Verifying insurance eligibility and benefits.

Providing timely insurance notifications.

Estimating financial responsibility for services rendered.

Identifying and collecting patient financial obligations, such as co-pays, co-insurance, and deductibles.

Facilitating application processes for financial assistance with eligible patients, including pre-admission, bedside visits, and walk-ins.

Following up to obtain supporting documentation for applications.

Maintaining documentation of all activities in the appropriate systems.

Communicating with patients, representatives, staff, and government entities regarding accounts.

Reviewing FAP applications and verifications, and documenting for review and processing.

Monitoring cases processed for financial assistance to completion.

Completing documentation for adjustments processed by the Central Business Office.

Ensuring accounts are accurately noted for FAP eligibility and resources exhausted.

Following up with denied patients to gain cooperation for financial assistance.

Collecting co-pay balances at the time of FAP eligibility and providing FAP applications.

Nature and Scope

This position conducts comprehensive financial screenings, in person or by phone, to identify payer sources and process applications timely. The process aims to be expeditious, compassionate, and patient-friendly, with coordination across departments to ensure seamless admission and discharge. The employee maintains documentation and ensures timely submission of applications to the FAP Committee, always exhibiting professionalism aligned with Renown Health’s Values.

This role does not provide patient care. The description reflects the general nature of the job and is not exhaustive of all responsibilities, skills, or conditions.

Minimum Qualifications

Education:

Working-level knowledge of English;
Bachelor's degree preferred. Bilingual (Spanish) candidates preferred. Ability to perform intermediate math skills and understand medical terminology.

Experience:

Two years in medical insurance benefits, eligibility verification, Medicaid screening, charity applications, claims processing, or medical financial counseling preferred. Experience with hospital claims follow-up or customer service in medical finance highly preferred.

License(s):
None

Certification(s):
Nevada Division of Insurance Exchange Enrollment Facilitator Certification required within 12 months of hire.

Computer

Skills:

Proficiency with MS Excel and Word; experience with EPIC system preferred. Ability to complete online learning modules within 90 days.

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