Responsibilities
- Act as a registration expert and liaison between the practice operations, and the patient financial advocates.
- Serves as point of contact for addressing registration and insurance issues, patient concerns and billing insurance questions to the extent possible before escalating to other financial advocate departments (billing, financial counselors).
- Explain financial obligations, billing process, and collecting payment or establishing payment arrangements with the patients as necessary for the planned treatment and/or procedures (includes, but not limited to; obtaining coverage and updating registration, verifying covered/non-covered service, creating estimates, etc.
- Assures secure handling and accurate recording of payments collected prior to scheduled visit — responsible for cash collection protocols.
- Responsible for Cost Estimate protocols automated through EPIC EMR system.
- Maintains professional communication with various staff, physicians, and patients regarding the financial clearance services. Communication will consist of telephone, email, EMR system correspondence.
- Effectively determines primary, secondary, and tertiary liability by coordination of payer plan benefits including government and commercial payor plans.
- Communicates liabilities directly to patients and provides estimates and education on key insurance terms and rules; may often handle patients with more complicated insurance plans (e.g., Medicaid, self-pay, and inactive plans)
- Documents financial clearance process and discussions in the EMR.
- Connect patients to Financial Counselors in obtaining financial assistance (i.e. FAA, self-pay) - referrals to appropriate resource departments for program enrollment, and/or assists patients to fill out forms as necessary.
- Connects patients with financial counselors when further explanation or education is needed regarding payment plans and complete financial assistance, including, but not limited to, all necessary forms, resources, payments, and submissions.
- Cross trains and responsible for financial clearance, with the potential for service line rescheduling workflows in coordination with clinical scheduling requirements and protocols.
- Maintains the assigned daily volumes while meeting productivity requirements.
- Manages communication via In-basket messages, emails, and other methods for completeness and accuracy of information needed to fulfill financial clearance requirements.
- Reviews and updates member registration including processing real time payor eligibility for membership eligibility.
- Other tasks/duties, as assigned.
Benefits
- Benefits Eligible: Yes
- Employee Group: NE - Non-Exempt/Non-Represented
- Fixed Term Employment Duration: None
- Remote Eligible: Yes
- Scheduled Weekly Hours: 40
- Work Shift: Day - 08 Hour
Work Arrangement
Hybrid
Additional Information
- Employee Group: NE - Non-Exempt/Non-Represented
- Fixed Term Employment Duration: None
- Scheduled Weekly Hours: 40
- Work Shift: Day - 08 Hour
- Remote Eligible: Yes
- Benefits Eligible: Yes
