Financial Support Specialist

General Responsibilities

• Provide coordination of services to assist patients with high-level financial support to maximize revenue and increase and improve patient communication.
• Supports patient service by responding to patient inquiries and resolving issues related to their billing.
• Essential Duties
• Check eligibility for insured patients prior to visit.
• Communicate any updates or changes between patient and front office staff to ensure all parties are aware of what to expect at time of visit.
• Verify benefits for all insured OB patients.
• Aid and direct self-pay patients on Medicaid enrollment if applicable.
• Engage with patients to ensure they understand financial responsibility for high-level services such as OB care, Colonoscopies, Endoscopies, Dental surgeries not covered by insurance.
• Track, monitor, and manage payments and payment plans.
• Cook up a quality assurance-auditing plan for patients whom have self-declared their income for our sliding fee program. Report results and/or issues to management staff on a quarterly basis.
• Manage participation and verification of income for patients elected to receive additional funding from grants or programs such as; Patient Assistance Fund, CHCNI, CDV, CHOIS.
• Cook up a plan to coordinate with patients when it is necessary for them to update their insurance in regards to primary, secondary coverage; PCP identification, or benefit eligibility limitations.
• Regularly run reports to identify coverage for patients insured by third party insurance not otherwise identified or disclosed in our EHR.
• Works and maintains retro eligibility process for new Medicaid eligible patients.
• Reconciles insurance rosters for quality and risk maintenance, including Medicaid, Medicare, Commercial value based contracted insurances.
• Sends statements monthly.
• Processes refunds on overpaid patient balances monthly.
• Receives and posts patient payments received via the mail, phone, and online.
• Updates patient information in practice management system as appropriate to ensure accurate generation of claims and statements.
• Manages returned mail, including but not limited to; researching for better addresses, suspending statements, handling balances on accounts, and research with statement and collections vendors.
• Is first on answering phones for the department, handles calls and portal messages within scope of knowledge and transfers all other calls or messages to appropriate person.

Minimum Qualifications

• 1 year of experience in basic billing practices, insurance plans, and collections processes.
• Ability to read and follow oral and written instruction.
• Ability to work with minimal supervision and direction.
• Basic bookkeeping knowledge.
• Proficient with Microsoft Office products.

Preferred Qualifications

• One to three years of medical office or medical billing experience.
• Knowledge of diagnosis and procedure (ICD-CPT) coding systems.