Estimate Specialist

Job Description

Job Description

At Mahaska Health the primary role of the Estimate Specialist is to be responsible for generating accurate cost estimates for medical procedures and services based on insurance coverage, hospital pricing, and patient-specific information. This role ensures transparency and helps patients make informed decisions about their healthcare expenses.

Essential job functions, including but not limited to,

• Using the EPIC electronic health record, this position determines a patient's out of pocket amount for upcoming procedures or radiology services at Mahaska Health.
• Figures the patient’s deductible, coinsurance, copay and / or out of pocket maximum for the scheduled service(s).
• Contacts patients through their patient portal, email, texting and phone calls.
• Notating the out-of-pocket amount in EPIC so the registrar checking in the patient is aware that money is due prior to the service.
• Collect payments prior to the procedure being performed.
• Create estimates for high dollar radiology services, surgeries and office procedures.
• Flexible and able to multi-task; can work within an ambiguous, fast-moving environment, while also driving toward clarity and solutions; demonstrated resourcefulness in setting priorities and guiding investment in people and systems.
• Is a role model of the Standards of Behavior set forth by Mahaska Health. Monitors and enforces team compliance to the Standards of Behavior.
• Live out our Culture Experience Book. Be a Servant Hearted Leader who will help solve problems and anticipate difficulties and help us become better by serving in a way that focuses on someone else’s interest instead of your own.
• Conduct self in accordance with Mahaska Health’s confidentiality policy; ensuring to follow all MHP training guidelines in accordance with the Health Insurance Portability and Accountability Act of 1996.

Job Responsibilities include but are not limited to :