Financial Resource Specialist

Financial Resource Specialist

The Financial Resource Specialist position requires extensive knowledge of Mercyhealth financial guidelines, collection policies, and government regulations related to billing and collections. The Financial Resource Specialist will be the embodiment of the hospital's mission, vision and values and will liaison with the various clinic and hospital locations to ensure financial policies are being adhered to. The Financial Resource Specialist will greet patients or family members in the various clinic and hospital settings and assist them in answering any questions or concerns they may have regarding their insurance coverage, financial assistance, billing, or payment options. The Financial Resource Specialist will have knowledge of all aspects of the revenue department from the registration process through the collection, billing, coding, and denial process. Financial Resource Specialists have an extensive knowledge base of all community, state, or federal government programs to provide assistance to patients who have no or limited ability to pay for their health care. They are expected to have a comprehensive knowledge base of alternative financial resources to counsel and educate patients on all available financial resource options. They will assist patients and family members with the Presumptive Eligibility process and follow up with patients to ensure they have secured a financial resource in place to pay for their health care. The Financial Resource Specialist also prepares complex estimates for services and counsels patients on their expected personal financial responsibility. They will keep up to date with insurance plans and payers so that they can appropriately counsel patients on their health care financial responsibilities. The Financial Resource Specialist will also work with patients and their insurance companies to resolve complicated billing and denial issues.

Responsibilities Essential Duties and Responsibilities Follows and administers all Mercyhealth financial policies and guidelines. In-depth knowledge of collection laws, an understanding of statement cycles, and the bad debt process. Maintains a thorough knowledge base of the registration and cash drawer process. Follows all necessary frontline workflows in regard to payment posting, cash drawer balancing and adheres to all cash compliance policies. Researches and performs audits on patient accounts to determine where balances are due, from third party payers or patient responsibility. Meets with patients in person or via telephone to counsel patients / customers on billing concerns, account balances, services costs / estimates, and various insurance resources. Establishes payment plans with...