Patient Financial Services Coordinator

2 weeks ago

Fort Myers, Florida, United States Radiology Regional Full time
Job Summary:

At Radiology Regional, we are seeking a highly skilled and detail-oriented Patient Financial Services Specialist to join our team. As a key member of our patient financial services department, you will play a critical role in ensuring the smooth operation of our financial processes.

Key Responsibilities:
  • Verify and assess patient eligibility for benefits involving health insurance coverage.
  • Obtain prior authorizations promptly for both scheduled and unscheduled medical procedures to ensure proper reimbursement for imaging services.
  • Obtain and provide Good Faith time-of-service estimations to patients, detailing the cost associated with their procedures.
  • Coordinate information from the patient, other office staff, clinical staff, and physician as needed to complete the verification/prior authorization process.
  • Maintain confidentiality of all patient information, records, including patient care information according to HIPAA guidelines.
  • Engage in financial conversations with patients, explaining procedure details, benefits, and the Good Faith estimate of out-of-pocket expenses.
  • Accurately identify procedure codes (CPT codes) to calculate the patient's financial obligation.
  • Identify patient co-pay, coinsurance, and deductible information due at the time of service.
  • Verify in-network and out-of-network insurance coverage and benefits utilizing all available verification and eligibility tools.
  • Contact insurance companies to obtain authorizations for medical procedures.
Requirements:
  • High School Diploma or GED
  • Minimum six-months experience in practical medical and/or eligibility, authorizations experience
  • Computer and phone experience
  • Customer service experience; radiology industry experience a plus
What We Offer:
  • Competitive medical, dental, and vision benefits plans
  • Life and long-term disability insurance
  • Three weeks paid time off
  • 401k with a generous company contribution
  • Six paid holidays
  • Imaging services for employees and immediate household

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