Employment Type:Full timeShift:Day Shift

Description:In accordance with the mission of Diley Ridge Medical Center, the Patient Financial Specialist, functioning in the spirit of teamwork, functions as a patient representative, collects accurate & complete registration / admission information; collection of all patient financial responsibilities; facilitates resolution of billing questions, and acts an information resource to physicians, physician offices and Center staff.
Functioning in the spirit of teamwork and cooperation, responsible and accountable for the delivery of care and services to patients served within the Medical Center campus, this may include acceptance of duties, responsibilities and / or special projects not specified within this .

Job Qualifications (Knowledge, Skills, and Abilities)

· High School Diploma or GED required.

· Experience: Prefer minimum of three years of experience in a physician’s office, clinic, hospital business office or related area dealing with the public in collection of data and funds.

· Able to perform data entry.

· Demonstrates understanding of Medicare, Medicaid and other third-party information requirements and adheres to all third-party regulations.

· Demonstrates a working knowledge of third-party payer benefits and requirements and regulations impacting registration procedures.

· Demonstrates a working knowledge of CPT and ICD-10 coding and payer reimbursement methodologies.

· Demonstrates excellent verbal and written communication skills.

· Demonstrates the ability to diffuse & handle difficult situations.

· Demonstrates good judgment in dealing with patients, physicians & clinical staff.

· Demonstrates the ability to effectively and assertively communicate and negotiate financial obligations and resolve patient inquiries.

· Demonstrates resilience, a positive attitude and the ability to work well in a fast paced, rapidly changing environment.

· Demonstrates a working knowledge of medical terminology and of diagnostic testing & procedures.

· Demonstrates the ability to work with a minimum of supervision.

· Job Related Skills: Good communication, human relationship, & team orientation skills when dealing with co-workers, patients, families, physicians, and general public.

Job Relationships

Reports to: Patient Financial Services Supervisor Supervises: N / A

Job Responsibilities

Essential Responsibilities:

· Service Excellence:

· Exhibits the Service Excellence Behavior Standards, role modeling excellence for all to see. For example: demonstrates friendliness and courtesy, effective communication creates a professional environment and provides first class service.

· Acts as a liaison with customers.

· Promptly answers telephone, acknowledges, greets and assists any customer entering the facility.

· Strives to meet or exceed the expectations of patients, visitors and other staff members, in the spirit of quality & excellence.

· Provides for periodic rounding on patients & families, providing updates and initiating service recover on identified issues.

· Registration & Positive Patient Identifications:

· Collects & validates accurate & complete patient information, entering information into registration system, completing necessary forms.

· Verifies & scans photo identification.

· Scans all patient identity information (i.e. insurance card, consent form, co-pay receipt, FROI, etc.

· Assembles and distributes patient charts to appropriate areas, as needed.

· Patient Financial Obligations:

· Ensures collection of patient deductibles, co-pays, co-insurance and deposits prior to scheduled service, secures payments.

· Collects payments and facilitates resolution of billing questions.

· Reviews all past accounts for balances due and discusses payment options with patients.

· Establishes payment arrangement, as needed.

· Discusses financial assistance options with patients.

· Updates billing address, phone number for insurance carrier, as part of the registration process.

· Communication:

· Positively & professionally communicates with other hospital departments, to obtain, provide or revise patient information.

· Presents and explains hospital pre-payment policies & procedures to customers in a factual & positive manner.

· Keeps patient & families appraised and updated.

· Provides information to Physician offices, as necessary.

· Communicates with all staff members in an accurate and timely manner.

· Assists the clinical staff with answering incoming & placement of outgoing phone calls, utilizing scripted messages.

· Compliance:

· Understands the relationship between diagnosis and procedure, using CPT and ICD-10 coding to ensure compliance with third party regulations.

· Understands Medicare, Medicaid and other thirdparty information requirements and adheres to all regulations.

· Abides by all pertinent legislations regarding use / disclosure of medical and financial information, debt collection and credit reporting.

· Responsible for ensuring that all medical necessity regulatory requirements are adhered to.

· Documentation & Reporting:

· Provides accurate and complete documentation in accordance with standards, policies, procedures and guidelines.

· Enters all free-form and standard notes to account in electronic record system.

· Safe Practice:

· Practices positive patient identification.

· Completes assigned responsibilities according to policies, procedures, & organizational guidelines.

· Initiates appropriate emergency procedures.

· Maintains a safe work environment.

· Provides for a safe environment for patients.

· Computer Skills:

· Utilizes computer systems, appropriate to position effectively.

· Verifies appropriate patient information utilizing appropriate software products, (i.e.) Address, Social Security Number, Insurance Information, etc.

· Appropriate use of the internet and intranet.

· Initiative:

· Assumes responsibility to facilitate improvements in patients care, staff & physician relationships and the working climate.

· Utilizes appropriate problem-solving techniques during interactions with all internal & external customers.

· Assumes responsibility for completing own education, attends in-services and departmental meetings.

· Assists in orientation of new staff and participates in student instruction and experiences when requested.

· Accepts responsibility for being pro-active in cost effective utilization of supplies and resources.

· Assists in maintenance of departmental compliance with continuous regulatory readiness.

Other Job Responsibilities:

· Responsible for compliance with Organizational Integrity through raising questions and promptly reporting actual or potential wrongdoing.

· Participates in and coordinates with organizational process to collect and evaluate information about hazards and safety practices that are used to identify safety management issues. Adheres to established policies and procedures, which may include wearing of personal protective equipment.

· Participates in and fosters a performance improvement approach that includes both intradepartmental and interdepartmental activities.

· Exhibits a customer service and community focus.

· Fosters a climate that will assist Diley Ridge Medical Center to fulfill its mission.

· Accepts other duties as assigned.

Our Commitment to Diversity and Inclusion
 

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.