Financial Assistance Navigator I
Found in: Resume Library US A2 - 2 weeks ago
This position is responsible for providing patients an understanding of the billing and insurance processing of their healthcare services. The Financial Counselor is responsible for identifying and facilitating financial solutions based on the patient’s coverage and need. The Financial Counselor will manage both hospital and physician accounts in all systems and understand in depth Hospital and Clinic billing functions that are necessary to resolve accounts, as well as understanding collections practices, bad debt and our Attorney General agreements.
Responsibilities/Job Description:
Maintains the best practice routine per department guidelines. Answers and completes required volumes of calls presented to self-pay team through automated dialer and call distribution system.
Timely processing and follow up of patient requests for payment research, checking charges and insurance processing concerns.
Work independently in problem solving with patients regarding their accounts in both hospital and clinic billing situations. Counsel the patient on the complexity of the interdependency between hospital and physician billing within the patient’s continuity of care.
Uninsured accounts reviewed and managed to include validation that uninsured discounts have been appropriately applied and all payments sources available to the patient have been explored.
Demonstrate a high degree of proficiency in billing and/or collection of multiple payers (both government and non-government) billing and collection practices.
Analyze paid claims for accuracy of payments and or rejections and properly account for payment and adjustments by both payers and patients.
Identify problem accounts and work towards timely resolution.
Qualifications:
Required
Three or more years in a customer service role with 6 months to 1-year experience in hospital billing and follow-up experiences.
Preferred
Two or more years in healthcare customer service.
Two or more years hospital or clinic business office.
Two or more years healthcare collections.
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