Patient Cost Estimate Specialt-Account Review-Full-Time-Days

About the role

Determines and assigns patient's payment responsibility for all elective procedures in which the patient is self-pay or has primary commercial insurance, but no secondary coverage. Collects the funds prior to the services being rendered. NOTE: Medicare, Medicaid and First Care patients are not included in the process. Accurately prepares daily deposit. Monthly balancing of Pre-Admit logs with payments collected.

Responsibilities

• For self-pay patients, collects the total payment during the pre-admissions process minus the self-pay discount
• Advise the doctor's office if the patient declines to pay ahead of time, or does not pay as scheduled, in order to reschedule the procedure or complete a deferment if the procedure cannot be rescheduled
• Prepares and delivers daily deposit as required
• Assist walk-in patients who have simple to complex billing issues and or requests regarding their accounts
• Collect the patient's payment and notify the scheduling department that the patient is financially cleared
• Contact the insurance company to determine the patient's financial responsibility and create an estimate using the EPIC Patient Estimator
• Contact the patient within 7 days of the scheduled procedure date and advise them of their patient responsibility due and offer any financing options available
• For patients with commercial/PPO/HMO insurance, research the patient information in Op Time or via emailed requests for elective procedure pricing
• For outside physicians, research emailed and faxed Request for Hospital Services forms
• Contact the appropriate scheduler to resolve procedure code issues before pricing
• Price the procedure, as well as any needed anesthesia, pathology and other ancillary costs for elective surgeries
• All other duties as assigned

Qualifications

• 1 year CPT and ICD-10 coding required
• 3 years Working with health insurance companies, verifying benefits required
• 2 years Physician billing required
• 3 years Customer service required
• Up To 1 Year Experience Working With Physicians Required
• 1 year Collections preferred
• 1 year Handling cash and making a daily deposit preferred

Education Requirements

• High School Diploma or GED equivalent required
• College Diploma preferred

Travel required up to 50%.