Patient Accounting Advocate Specialist - Patient Accounting -18

Job Summary

Serves as St. Rose Hospital [SRH] point of contact for collection of onsite payments [prior to hospital services as well as on existing patient account balances]. Assists patients with inquiries on the Uninsured/Charity and MediCal eligibility process, explaining documentation needed and referring to other resources when applicable. Answers patient/guarantor questions on current account balances. Promotes a positive hospital image to patients, visitors and physicians by adhering to the SRH Core Values of Service-Partnership-Community-Compassion-Excellence.

Job Summary

Full Time - 40 hours AM Shift APPROXIMATE PAY RANGE: $28.76 - $34.34

Responsibilities

• Calculates and generates patient estimate using benefits, charges and contract information. Enters required documentation into hospital computer system.
• Explains patients liability estimate to patient and family.
• Accepts upfront and current payments from patients and guarantors. Logs payment, produces receipt and prepares deposit records within SRH cash handling policy and procedure.
• Explains Payment Plan options to patient and enrolls in Payment Plan as appropriate. Provides timely follow-up for Charity and other payment approval processes and assist patient in understanding of what documents are needed for application process.
• PARTNERS WITH MEDICAL CAL VENDOR TO ASSIST PATIENT WITH ANY RELATED QUESTIONS.
• FOLLOWS HIPAA GUIDELINES AT ALL TIMES, MAINTAINING PATIENT CONFIDENTIALITY OF ALL INFORMATION.
• DEMONSTRATES APPROPRIATE PROBLEM SOLVING AND INTERPERSONAL SKILLS.
• COMPLETES PROJECTS AS ASSIGNED BY PATIENT ACCOUNT LEADERSHIP.
• Maintains acceptable Quality Assurance score of >90% weekly.
• ENSURES CHARITY APPLICATION WORK QUEUE IS REVIEWED EVERY THIRTY [30] DAYS AND APPROPRIATE NEXT STEPS ARE TAKEN.

Qualifications

• Education: High school graduate or equivalent preferred.
• Experience: 5+ years of Medi-cal & Managed Medi-cal billing. Claim appeals (CIF's). Acute care facility and sub-acute billing preferred.
• Skills: Excellent customer service skills. Attention to detail. Proficient in typing [minimum 45 wpm]. Knowledge of medical terminology. Spanish preferred.