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Patient Financial Specialist, FT, Days

Patient Financial Specialist, FT, Days

Prisma HealthGreenville, SC, United States
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Inspire health. Serve with compassion. Be the difference.

Job Summary

Responsible for assuring up front collection process is followed with copays and coinsurance being collected at time of service or appropriate payment plans are set. Also responsible for working with patients on surgery deposits and / or payment plans. This includes working as a team with the front office and check out staff to collect at or above percentage rate set forth by practice management

Essential Functions

All team members are expected to be knowledgeable and compliant with Prisma Health's values : Inspire health. Serve with compassion. Be the difference.

Completes pre-visit preparation completed in the time frame designated by manager including review of self-pay. Chart Prep : Run schedules for all physicians 2 days out; review accounts for outstanding self-pay.

Provides information for check in staff, check out staff, orathletictrainers (based on office protocol) via hard copy or withnotes in ECW.

Obtains pre-certifications or authorizations if needed, verify insurance coverage, make phone calls to patients if indicated, add financial comments to accounts.

Verifies patient's insurance, calculate the patient's liability using the method determined by the manager, including outstanding balances for all services, print estimates, and collect the amount due.

Discusses with patient face to face or send deposit letter with return envelope. Sets up payment plans

Answers patient calls. Works with UMG PBO on payment plan issues. Completes customer service log. Reviews invoices for charity or SUN discounts.

Assists in front office functions as needed to check balances, print self-pay letters. Assists in all other front office functions as needed.

Performs other duties as assigned.

Supervisory / Management Responsibilities

This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

Education - High School diploma or equivalent OR post-high school diploma / highest degree earned

Experience - Two (2) years of relevant healthcare experience, including but not limited to : Patient Services Rep, Physician Practice Front Office, Billing, Insurance, etc. Multi-specialty group practice setting experience preferred

In Lieu Of

  • NA

Required Certifications, Registrations, Licenses

  • NA
  • Knowledge, Skills and Abilities

    Communication skills

    Work Shift

    Day (United States of America)

    Location

    Centennial Way Practices

    Facility

    2444 MCCW-Urology

    Department

    24441000 MCCW-Urology-Practice Operations

    Share your talent with us! Our vision is simple : to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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