Self Pay Specialist

Self-Pay Specialist

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Job Type: Regular

Scheduled Hours: 20

Job Summary: The Self-Pay Specialist's role may include any of the following: assist patients with applying for the Hospital Financial Assistance program and process application material received, adding missing or additional insurance or income information, assisting patient with coverage through COBRA, resolving Medicare MSP issues, point of service collections, processing working accounts for which patient has filed bankruptcy, working deceased patient accounts and communicating with family members, verification and pre-cert of insurance discovered after patient has been discharged. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.

Job Description:

• Review & or add/remove Insurance coverage to accounts that have not billed or billed incorrectly.
• Review and send eligible accounts to bad debt
• Review accounts for adjustments (charity, hardship, presumptive charity, patient discount, catastrophic discounts).
• Attend meetings to discuss revenue cycle related subjects.

Patient Satisfaction:

• Interacts with employees & patients/ via phone regarding their balances in an attempt to uncover additional information that may qualify the patient for coverage through Medicaid, Hospital charity program, prompt pay discount, payment by credit card, payment arrangements, etc.
• Receives, responds and or resolves any issues or problems in a timely manner to incoming telephone calls, faxes, and/or correspondence from patients and/or their family members, insurance companies, social workers and other departments.

Follow-up/ Documentation:

• Texts and documents all activity of self-pay involvement in EPIC/ and or Artiva including notes relating to screening of patient, calls from and to family members, insurance companies, Medaissist, social works, physicians, other departments, etc
• Process, follow-up, and approve all Financial applications in a timely manner will following the hospital and federal guidelines.
• Follow up on accounts, identify and resolve billing issues.

Vendor Relation:

• Assist third party vendors / early out vendor with itemized statements, adjustments, insurance issues, charity, bankruptcy, settlements, and all other requests.
• Assist all vendors and other departments with reconciliation or issues.
• Perform audits on vendors, First Source, Ontario, Data online and collection agencies to ensure accounts are worked according to department standards.

Training:

• Maintain, update and create procedures, training documents and/or tip sheets for self-processes and procedures.
• Complete all mandatory CBL's
• Attend any needed training course on Microsoft Excel, Word, EPIC or other needed courses.
• Performs all other duties as assigned by the Manager, Self-Pay

Education, Credentials, Licenses:

• High school diploma or equivalent

Specialized Knowledge:

• Experience in hospital third party billing and follow-up; PC skills; detail oriented; customer service skills; communication skills

Kind and Length of Experience:

• Experience in a professional office environment

FLSA Status: Non-Exempt

Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.