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

Overview:

JOB DUTIES:

 

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 includedin the process. Accurately prepares daily deposit. Monthly balancing of Pre-Admit logs with payments collected.

 

Responsibilities:

Essential Functions:

 

 

• 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:

Experience Requirements:

 

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

 

OTHER:

 

Travel Required up to 50%

 

UFJPI is an Equal Opportunity Employer and Drugfree Workplace