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Financial Services Verification Specialist

2 months ago

Fairfield, California, United States NorthBay Health Full time
Position Overview

At NorthBay Health, the Financial Services Verification Specialist is responsible for the accurate and timely pre-registration and financial assessment of all scheduled and unscheduled inpatient admissions, outpatient procedures, and ambulatory services. This role involves scheduling appointments, verifying eligibility, benefits, and coverage limitations, as well as collecting and arranging for patients to meet their deductible, share of cost, and co-payment obligations.

The Specialist conducts informative discussions with patients, clarifying their coverage eligibility and benefits. This includes providing details on coordination of benefits, authorization statuses, estimated charges, outstanding deductibles, co-pays, and previous balances. The role requires taking initiative to resolve patient inquiries and, when necessary, referring them to other members of the Patient Access or Financial Counseling teams, as well as other relevant departments within the healthcare system.

Maintaining a professional and empathetic demeanor is crucial, as is the ability to communicate effectively both orally and in writing. The Specialist will assist the QA/Training Coordinator and the Exceptional Experience Coaches with training initiatives and quality improvement projects within the department. Consistent performance that meets or exceeds departmental expectations for productivity, financial stewardship, and patient satisfaction metrics is essential.

Department Mission Statement:

Our mission is to create memorable and inspiring experiences for every customer we serve. We set ourselves apart through our ability to listen and empathize, delivering exceptional service. Our goal is to guide patients and their families through a seamless healthcare journey, providing tailored assistance and education that meets their unique needs and expectations. We are committed to nurturing lasting relationships with our patients and taking accountability for every aspect of their experience, continuously striving to embody the NorthBay way.

Qualifications

  1. Education/Training: Associate Degree preferred.
  2. Licensure/Certification: Relevant certification in Patient Access and/or Revenue Cycle from a nationally recognized healthcare credentialing organization required within 12 months of hire.
  3. Experience:
    1. Five or more years of customer engagement experience in a healthcare revenue cycle environment required.
    2. Excellent oral and written communication skills with the ability to articulate thoughts effectively. Intensive experience with insurance health plans and knowledge of billing regulations required; experience in phone-based customer service is strongly preferred.
    3. Expertise in differentiating the unique characteristics of various insurance types, including Medi-Cal, Medicare, Managed Care, Indemnity, and Workers Compensation, along with their eligibility requirements and benefit coordination.
  4. Standards of Performance: Adhere to established policies and procedures, demonstrating the defined characteristics associated with attendance and punctuality.
  5. Physical Effort: Attendance is essential. The physical demands of this role may include slight to moderate physical exertion.
  6. Interpersonal Skills: Demonstrate the NorthBay Way, which encompasses value-based behaviors such as Caring, Communication, Collaboration, and Competence. Exhibit a commitment to service excellence, professionalism, compassion, strong listening skills, and a warm demeanor. Show empathy, optimism, resourcefulness, and cultural competency in all interactions. A proven track record of navigating the complexities of the healthcare environment with advanced critical thinking skills is essential.
Compensation:

Hourly Pay Range MIN $35.36 (Offered hourly rate based on years of experience in a similar role).