University of Rochester Financial Coordinator - 218282 in Rochester, New York
Strong Memorial Hospital
Full Time 40 hours Grade 009 Financial Counseling&Outpt Reg
Coordinates all aspects of patient financial account management for upcoming appointments. Utilizes scheduling and registration information to verify coverage, benefit limitations, obtains and monitors authorization for scheduled visits/treatment. May need to contact patients, provider's offices, and hospital departments to gather sufficient information in order to obtain authorization, benefits, price estimation, and collection of patient liability. Acts as a liaison between the patients, physicians, clinics, case management, centralized billing office, third party payers and community agencies. High motivation required with attention to detail, excellent customer service and phone etiquette, with the ability to learn quickly. Coordinator works independently and solves problems quickly as they arise and will also assist patients with billing related questions.
Sometimes meets with patients utilizing professional and excellent communication skills to deliver a true advocacy experience that focuses on delivering clear and accurate information about patient's financial obligations, quoted insurance benefits, collecting money for services provided (if applicable), setting up payment arrangements, and utilizing other resources, such as our Financial Case Management and/or Financial Assistance program to assist patients who do not have the financial resources to meet their healthcare obligations.
Reviews pre-registration schedule 3-5 days prior to patient appointment to verify insurance information.
Consults financial options with patients who have no out-of-network, restrictive or limited coverage and are considering treatment at URMC. Informs clinical staff of patient's status.
Identifies and confirms self-pay patients for appropriate referral to Financial Case Management for possible Medicaid application and /or Financial Assistance.
Notifies and monitors patients COBRA entitlement and assist with paperwork if necessary.
Identifies pre-existing conditions during the insurance verification process for lapse or creditable coverage.
Determines the primary payer through knowledge of Medicare and other payer regulations for the coordination of benefits.
Pre-certification/Pre-Determination: contact insurance companies to pre-certify all scheduled services that require an authorization to secure reimbursement.
Notifies Case Management of clinical requests by third party payers.
Work with denial management team to reduce denial rates.
Cross-train within Financial Counseling for coverage purposes.
Accountable for meeting department standards for completion and QA of visits on a day to day bases by utilizing Hold Bill work list.
Completes all necessary follow-up on accounts pending an authorization.
Records all actions in EPIC.
Observes visits on the workqueues daily for potential cases that are missing registration items and may require authorizations.
Monitors visits requiring an authorization extension.
Insurance eligibility tracking.
Identifies areas and recommendations for process/operational improvement.
Attends educational programs for the department at the Manager's direction.
May train or perform other duties assigned by management.
High school diploma and 4 years of related hospital credit services experience or Bachelor's degree in Business Administration, Health Care Administration, Psychology, or related discipline and 1 year of related experience; or equivalent combination of education and experience. Medical terminology required.
AAS in related discipline (admitting/registration/patient billing/insurance). Physician billing experience preferred. Knowledge of coding/medical billing treatment preferred. Must have excellent written and oral communication skills in dealing with patients, physicians and other personnel. Must have excellent organizational skills. One to two years customer service experience preferred.
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled