What are the responsibilities and job description for the Patient Financial Specialist, Bilingual Spanish/English preferred, FT, Days position at Prisma Health?
Inspire health. Serve with compassion. Be the difference.
Job Summary
Responsible for assuring up front collection process is followed with copays and coinsurance being collected at time of service or appropriate payment plans are set. Also responsible for working with patients on surgery deposits and / or payment plans. This includes working as a team with the front office and check out staff to collect at or above percentage rate set forth by practice management
Bilingual Spanish / English preferred.
Essential Functions
Pre-visit preparation completed in the time frame designated by manager including review of self-pay. Chart Prep : Run schedules for all physicians 2 days out; review accounts for outstanding self-pay. 45%
Provide information for check in staff, check out staff, orathletictrainers (based on office protocol) via hard copy or withnotes in ECW.10%
Obtain pre-certifications or authorizations if needed, verify insurance coverage, make phone calls to patients if indicated, add financial comments to accounts.10%
Verify patient's insurance, calculate the patient's liability using the method determined by the manager, including outstanding balances for all services, print estimates, and collect the amount due.10%
Discuss with patient face to face or send deposit letter with return envelope. Set up payment plans as needed.10%
Answer patient calls. Work with UMG PBO on payment plan issues. Complete customer service log. Review invoices for charity or SUN discounts.10%
Assist in front office functions as needed to check balances, print self-pay letters. Assist in all other front office functions as needed.5%
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 - 2 years of relevant healthcare experience, including but not limited to : Patient Services Rep, Physician Practice Front Office, Billing, Insurance, etc.
In Lieu Of
Required Certifications, Registrations, Licenses
Knowledge, Skills and Abilities
Multi-specialty group practice setting experience - Preferred
Work Shift
Day (United States of America)
Location
OB / GYN Center
Facility
2051 OBGYN Center-Grove Rd
Department
20511000 OBGYN Center-Grove Rd-Practice Operations
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.
