Financial Access Specialist 2

About the role

The FACT department coordinates the insurance clearance process for Inpatient planned and unplanned admits, for Outpatient Surgery, Clinic Procedures, high dollar Infusion, and/or Radiology high dollar Procedures, as well as, various functions associated with obtaining and verifying the insurance coverage and benefits for facility and professional services.

Responsibilities

• Participate in on-the-job training to learn to coordinate the insurance clearance process, as well as various functions associated with obtaining and verifying the insurance coverage and benefits for facility and professional services.
• Review scheduled appointments through patient work queue, and obtain insurance authorizations through assigned payer administrators.
• Verify/document patient eligibility and benefits; document progress in EPIC auth/cert and REG.
• Refer uninsured patients for Medicaid/Charity eligibility screening; call referring providers to obtain referrals or to initiate authorization.
• Prepare estimates of fees upon request from Patient Care Consultants, and review payment options with patients.
• Collect payments and process using cash drawer in EPIC.
• Call patients to provide overview of limited medical benefits and Out-of-Pocket cost; prepare Notice of Non-Coverage form for patient signature.

Requirements

• A high school diploma or GED certificate.
• One year of experience in a medical office setting.
• An equivalent combination of education and experience may substitute for stated requirements.

Qualifications

Our team values excellent customer service, timely response, accurate authorization, and courteous processing of calls.

Skills

Excellent communication skills are essential for this role.

Benefits

For information about benefits for this position, visit here.

Pay

Pay Range Minimum: $25.10 hourly
Pay Range Maximum: $35.91 hourly

Schedule

First Shift (United States of America)

Position Details

Temporary or Regular? This is a regular position
FTE (Full-Time Equivalent): 100.00%
Union/Bargaining Unit: SEIU Local 925
Nonsupervisory