Remote Patient Financial Specialist, FT, Day at Prisma Health

Greenville, South Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Feb, 26

Salary

0.0

Posted On

29 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Financial Assessments, Patient Interaction, Revenue Cycle Knowledge, Insurance Verification, Payment Collection, Interpersonal Skills, Financial Counseling, Judgment, Communication, Problem Solving, Collaboration, Customer Service, Regulatory Knowledge, Disability Determination, Application Coordination, Cash Handling

Industry

Hospitals and Health Care

Description

Inspire health. Serve with compassion. Be the difference. Job Summary Performs in-depth demographic and financial assessments (generally at the bedside) and analyzes the results to determine an appropriate payor source. Responsible for the collection of deductibles, co-pays, and co-insurances as well as payment towards accounts classified as self-pay. Assessments often include the need to assist the patient with financial needs and contact outside agencies such as Vocational Rehabilitation, Department of Health and Human Services, Social Security Administration, and others. Partners with Social Work and Outcomes Management to ensure the most appropriate continuum of care for the patient. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Interviews patient and/or patient's representative (in accordance with HIPPA Guidelines) to obtain complete and accurate demographic and financial information. Possesses and demonstrates knowledge of computer systems and financial counseling processes allowing the ability to follow through with all assigned accounts timely and accurately to the satisfaction of the internal and external customer. Exercises judgement in analyzing the information collected and following through to ensure the patient receives every consideration for financial assistance. Ensures elimination of all possible payor sources prior to consideration of hospital sponsorship. Communicates patient's estimated financial responsibility and requests payment prior to or at the time of service; appropriately explaining insurance terms to the patient. Receives payments and issues receipts in accordance with departmental cash handling procedures. Continually excels at the performance benchmark standards. Monitors high dollar accounts that represent significant exposure to ensure complete and accurate financial and demographic information necessary for timely submission and reimbursement of the account. Initiates authorization and insurance verification processes as necessary and communicates changes to those departments who need to be made aware. Coordinates and delegates referrals to the Department of Health and Human Services for an application to be completed. Monitors to ensure applications are secured in a timely manner. Demonstrates superior interpersonal relationship skills necessary for developing and maintaining positive professional relationships with patients, peers, clinical departments, payor organizations, and industry organizations. Maintains superior revenue cycle knowledge through an ongoing review of governmental, managed care and other third-party payor regulations and guidelines. Explores any possible payor source options such as Cobra, Liability, Worker's Compensation or other Governmental Agencies. Participates in appropriate departmental training and career developmental opportunities. Contacts Social Security Administration and makes appointments for patients as needed. As needed, assists the patient with the interview process and completing required forms. Facilitates the disability determination process by working with the clinical staff and disability examiner to gather information needed for a disability determination to be made. Exercises superior judgement in coordinating referrals to the appropriate outsource vendor for cases which may require additional follow up once the patient is discharged from the hospital. Works in accordance with Patient Friendly standards consistent with company policies and procedures resulting in optimal collection and customer service. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent OR post-high school diploma/highest degree earned Experience - Three (3) years health care revenue cycle experience (such as Billing, Collections, and/or Customer Service) In Lieu Of In lieu of education and experience noted above, a Bachelor's degree and three (3) years of experience in a service industry may be considered. Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities NA Work Shift Day (United States of America) Location Cancer Centers - Faris Road Facility 1008 Greenville Memorial Hospital Department 10559151 Revenue Cycle-Cancer Institute-CIF Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Responsibilities

The Remote Patient Financial Specialist performs in-depth demographic and financial assessments to determine appropriate payor sources and collects payments from patients. They also assist patients with financial needs and coordinate with external agencies to ensure optimal care.