Analyzes patients’ financial obligations prior to date of service to create a transparent financial experience including generation of an estimate preservice, explains patient liability, collects prepayments and outstanding balances. Special attention should be applied to patients with a high self-pay balance, high liability for services, self-pay patients, as well as patients with non-covered services.
Demonstrates a strong understanding of the Financial Clearance Policy and the ability to apply in appropriate scenarios.
Demonstrates a strong understanding of the Compassionate Care Policy and the ability to apply in appropriate scenarios.
Verifies and completes insurance benefit collection using current eligibility vendors or other available online tools; verify by telephone when online resources are exhausted.
Completes and balances daily deposits for assigned areas.
Collects down payments and secures satisfactory payment arrangements consistently to maximize cash flow.
Provide financial counseling to include explanation of coverage/insurance benefits, how benefits relate to estimated patient liability and information on all account balances.
Assists patients (walk-in and telephone) with questions and concerns regarding patient account balances. Assists patients with billing issues and refers additional questions to the appropriate Patient Account Representative or Manager.
Assists with any training needs in the department.
Advocates for patient engagement, including activation of MyChart.
Qualifications:
Knowledge of medical terminology and hospital billing procedures preferred
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