Spec Financial Access

POSITION SUMMARY/RESPONSIBILITIES

Secures and obtains accurate patient data for complete financial clearance.   Communicates with patients to determine accurate funding source information. Determines benefit level, coordination of benefits, coinsurance amounts for hospital and clinic services using knowledge of insurance verification.  Performs pre-authorization and financial counseling. Communicates with patients about service charges and assists with payment estimates.  Collects co-pays, coinsurance and other monies that may be owed by the patient.  Ensures proper financial clearance for timely and correct reimbursement for services rendered at UH.

EDUCATION/EXPERIENCE

            High school diploma, GED, or equivalent experience required.  Six (6) months of financial counseling related experience in a hospital/physician office setting is preferred.  Experience and knowledge of obtaining insurance benefits, pre-authorization and collection of monies is preferred.  Knowledge of hospital contracts, in-network vs. out-of-network benefits and negotiation is preferred.  Basic medical terminology and ICD 10 coding experience is preferred.