Financial Assistance Specialist

Join to apply for the Financial Assistance Specialist role at Renown Health
.

Be among the first 25 applicants.

Get AI-powered advice on this job and more exclusive features.

Performs Financial Specialist functions through the accurate gathering of demographic, sponsorship or guardian data, insurance, financial and statistical information from a variety of sources, i.e., patients, patient’s families, physicians, physician office staff, county and/or governmental agencies. For patients without a payer source the Financial Assistance Specialist will ensure that the patient is screened and assisted with the applications for government, local or charity as well as Financial Assistance Program (FAP) for Renown.

• Obtaining and accurately entering demographic and financial information into the computer system.
• Identifying all insurance payer sources and payer order sequence.
• Verifying insurance eligibility and benefits.
• Timely insurance notification.
• Determining estimated financial responsibility for services being rendered.
• Identifying and collecting patient financial obligation amounts, i.e., co-payments, co-insurance, deductibles, etc.
• Facilitating the application process for financial assistance with all applicable patients including pre‑admission, bedside visits while in‑house, and walk‑ins to Patient Financial Assistance or Business office.
• Following up with patients to obtain all supporting documentation for each application process.
• Maintaining documentation on all work activity for each patient account in the appropriate systems.
• Maintaining communication and correspondence with patients, representatives, designated family members, appropriate Renown staff, and all government entities on all accounts served.
• Reviewing FAP applications and verifications received and documenting in all applicable patient accounts for FAP Committee review and processing.
• Monitoring all cases processed for financial assistance and by the FAP Committee to completion.
• Completing documentation to justify adjustments for processing by the Central Business Office.
• Ensuring all accounts are accurately noted for FAP eligibility and that all financial resources have been exhausted.
• Completing follow‑up with patients denied for financial resources to gain their cooperation for Financial Assistance.
• Ensuring all patient co‑pay balances are collected at the time they are determined eligible for FAP and the FAP application is provided.
• Conducting a comprehensive financial screening, in person or by telephone interview, to identify all potential payer sources including commercial insurance, federal, state and county assistance programs.
• Expediting the screening prior to admission whenever possible, ensuring the process is expeditious, compassionate and patient friendly.
• Coordinating and communicating all aspects of the financial assistance process, and notifying and/or submitting applications to the appropriate governmental entity in a timely manner.
• Ensuring accounts are financially secured and reviewed to avoid denied days and lost reimbursement to the health system.
• Using diplomacy when communicating effectively to patients, guardians, family members, physicians and co-workers.
• Coordinating with interdisciplinary teams (Case Management, Social Services, Nursing, etc.) to ensure seamless admission and discharge processes for referred patients.
• Maintaining all necessary documentation of processed accounts.
• Always exhibiting the highest level of professionalism in accordance with Renown Health’s values.

This position is responsible for conducting a comprehensive financial screening, in person or by telephone interview, to identify all potential payer sources including commercial insurance, federal, state and county assistance programs, and follow through with obtaining and processing the appropriate application(s) in a timely manner. Whenever possible, the screening will be done prior to admission. The employee is responsible for ensuring this process is expeditious, compassionate and patient friendly.

The position is accountable for timely coordination and accurate communication of information…