Job description
Overview
CHI Saint Joseph Medical Group now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health includes 275 providers delivering quality care to patients across 88 locations in central and eastern Kentucky. Our full service network delivers a variety of Primary Care Services including Family Internal Geriatric and Pediatric Medicine in addition to several specialties to deliver custom care based on the unique needs of our patients.
Responsibilities
This position is responsible for identifying and collecting patient financial obligation for the duration of stay as well as verifying the eligibility/benefits information for the patient’s visit. This position will also determine eligibility for the hospital’s various financial assistance programs.
1. Performs collection functions and financial assistance for payment methods
2. Conducts interviews with patients and/or family members
3. Collect and/or negotiate point of service payments or link to financial assistance programs
4. Must be capable of articulating information in a courteous, clear and informative manner to patients, guarantors, family members, clinical staff, other hospital personnel, vendors, physicians, and their office staff
5. Convey estimates of the patient responsibility portion of the billed cost of service to patients under deductible, coinsurance, and standard co-pay benefit designs based on established charge estimates for common procedures
6. Counsels patients regarding their third-party coverage, financial responsibility, and billing procedures
7. Review patient account summaries of unbilled charges, billing, payments, and collection activities
8. Obtain all forms required for patients potentially qualifying for financial assistance
9. Review and monitor accounts for inpatients and initiate proper action
10. Ensures payors are listed accurately, pertaining to primary, secondary, and/or tertiary coverage and billing when a patient has multiple third party/governmental payors listed on an account.
11. Process patient accounts and deploy established policies to resolve insurance issues with patient accounts with/without supervision i.e. conference calls with employer, payor and physician office staff
12. Initiate pre-cert for in-house patients when required, obtaining pre-certification reference number, approved length of stay, and utilization review company contact person and telephone number
Qualifications
Required:
High school diploma
Experience:
One (1) year experience
Minimum Skills, Knowledge and Abilities:
Pay Range
$16.26 - $22.36 /hour
CHI Saint Joseph Medical Group now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health includes 275 providers delivering quality care to patients across 88 locations in central and eastern Kentucky. Our full service network delivers a variety of Primary Care Services including Family Internal Geriatric and Pediatric Medicine in addition to several specialties to deliver custom care based on the unique needs of our patients.
Responsibilities
This position is responsible for identifying and collecting patient financial obligation for the duration of stay as well as verifying the eligibility/benefits information for the patient’s visit. This position will also determine eligibility for the hospital’s various financial assistance programs.
1. Performs collection functions and financial assistance for payment methods
2. Conducts interviews with patients and/or family members
3. Collect and/or negotiate point of service payments or link to financial assistance programs
4. Must be capable of articulating information in a courteous, clear and informative manner to patients, guarantors, family members, clinical staff, other hospital personnel, vendors, physicians, and their office staff
5. Convey estimates of the patient responsibility portion of the billed cost of service to patients under deductible, coinsurance, and standard co-pay benefit designs based on established charge estimates for common procedures
6. Counsels patients regarding their third-party coverage, financial responsibility, and billing procedures
7. Review patient account summaries of unbilled charges, billing, payments, and collection activities
8. Obtain all forms required for patients potentially qualifying for financial assistance
9. Review and monitor accounts for inpatients and initiate proper action
10. Ensures payors are listed accurately, pertaining to primary, secondary, and/or tertiary coverage and billing when a patient has multiple third party/governmental payors listed on an account.
11. Process patient accounts and deploy established policies to resolve insurance issues with patient accounts with/without supervision i.e. conference calls with employer, payor and physician office staff
12. Initiate pre-cert for in-house patients when required, obtaining pre-certification reference number, approved length of stay, and utilization review company contact person and telephone number
Qualifications
Required:
High school diploma
Experience:
One (1) year experience
Minimum Skills, Knowledge and Abilities:
Excellent customer service skills- Excellent Written/verbal communication skills
- Math skills
- Computer literate
- Detail oriented
- Basic knowledge of medical terminology
Pay Range
$16.26 - $22.36 /hour
CHI
commonspirit.careers
Englewood, CO
Wright L. Lassiter III
$10+ billion (USD)
10000+ Employees
Nonprofit Organization
Health Care Services & Hospitals
1996