Patient Financial Services Coordinator

5 days ago

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

We are seeking a highly skilled Patient Financial Services Specialist to join our team at Radiology Regional. As a key member of our financial services team, you will be responsible for obtaining insurance eligibility, exam prior-authorization, and time-of-service estimations. You will utilize various office procedures, software, and payer portals to verify, authorize, and estimate patient financial obligations.

Key Responsibilities
  • Verify and assess patient eligibility for benefits involving health insurance coverage.
  • Obtain prior authorizations promptly for scheduled and unscheduled medical procedures to ensure proper reimbursement for imaging services.
  • Provide Good Faith time-of-service estimations to patients, detailing the cost associated with their procedures.
  • Coordinate information from patients, office staff, clinical staff, and physicians as needed to complete the verification/prior authorization process.
  • Maintain confidentiality of all patient information, records, and 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 patient financial obligations.
  • 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.
Requirements
  • High School Diploma or GED required.
  • Minimum six-months experience in medical and/or eligibility, authorizations experience.
  • Computer and phone experience required.
  • Customer service experience and 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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