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Patient Financial Services Representative
2 months ago
HonorHealth is seeking a skilled Patient Financial Services Representative to join our team at Shea Medical Center. As a key member of our BMT Admin department, you will play a vital role in ensuring patients have coverage for their hospital stay.
Responsibilities- Obtain complex financial information regarding patients from various sources, notify insurance companies, and assist with obtaining insurance authorizations.
- Handle and track payments, special package plan agreements, financial assistance paperwork, and assist with obtaining Medicaid applications and alternative financing.
- Secure payment for balances on inpatient and outpatient accounts.
- Assist Supervisor and Lead with monitoring patient financial issues and auditing registration regulatory forms for accuracy.
- Update financial and demographic information in the ADT system.
- Address complex financial issues with patients, explain HonorHealth financial policies, and determine point of service amounts due and collect.
- Obtain signature on all financial documents, including package plan agreements and insurance waivers.
- Assist with the application process for Medicaid coverage by working with the DES office or the vendor assigned to fulfill the Medicaid application.
- Monitor the status of Medicaid applications.
- Perform daily follow-up on unverified and pending accounts, ensure that all regulatory forms are completed and signed in a timely fashion.
- Ensure all demographic and financial information, including insurance verification and eligibility, is on account.
- Monitor authorizations for through dates and update authorizations as needed.
- Notify Case Management of patients that are likely to exhaust their Medicare days.
- Educate patients regarding rights, obligations, and policies.
- Ensure account is secured or take necessary steps to do so.
- Perform general cashiering duties as necessary, including receiving and posting payments to appropriate patient accounts and/or general ledger account.
- Prepare receipts, daily bank deposits, and batch receipts.
- Maintain a balanced cash drawer.
- High School Diploma or GED required.
- 1 year related experience required.
