Fin Verification Ambassador (Per Diem)

About the role

The Financial Verification Ambassador at NorthBay Health is responsible for accurately, efficiently, and timely pre-registering and completing financial analysis activities for all scheduled and unscheduled inpatient admissions, outpatient procedures, and ambulatory services.

Responsibilities

• Schedules appointments and procedures, verifies eligibility, benefits, coverage limitations, and collects or makes arrangements for patients to meet deductible/share of cost and co-payment responsibilities.
• Obtains all necessary authorizations and coordinates with case management to meet any reporting/utilization review requirements to ensure maximum reimbursement.
• Conducts educational conversations with patients explaining coverage eligibility and benefits, including coordination of benefits, required authorizations, estimated charges, deductibles, share of cost, co-pays, and out-of-pocket obligations.
• Takes initiative to resolve patient issues and, when required, refers patients to other members of the Patient Access or Financial Counseling team, as well as other departments within the health system as appropriate.
• Maintains and promotes a professional and empathetic attitude, demonstrating courteous actions, maintaining confidentiality, and presenting oneself appropriately.
• Aids the QA/Training Coordinator and Exceptional Experience Coaches with training and department quality improvement projects.
• Consistently meets or exceeds department expectations for productivity, financial stewardship, and patient satisfaction metrics.

Requirements

• Associate Degree preferred.
• Patient Access and/or Revenue Cycle relevant certification from a nationally recognized healthcare credentialing organization required within 12 months of hire.
• Five or more years of customer engagement experience in a healthcare revenue cycle environment required.
• Excellent oral and written communication skills with the ability to articulate thoughts effectively.
• Intensive experience with insurance health plans and knowledge of billing regulations required, with experience with phone-based customer service strongly preferred.
• Expertise in differentiating the unique characteristics of various insurance types (Medi-Cal, Medicare, Managed Care, Indemnity, Workers Compensation) including eligibility requirements and benefit coordination.
• Understanding of how completeness and accuracy in the registration/admission process impact successful claims processing and payment receipt.
• Knowledge of how completeness and accuracy in the registration process impact the delivery of patient care.