Job Description
Job Description
Description : SUMMARY
SUMMARY
The Patient Financial Coordinator (PFC) is responsible for financial activities as related to patient and insurance billing.
Assumes responsibility and is accountable for adherence to WC policies and procedures, as well as all applicable federal and state laws as they pertain to healthcare and employment.
ESSENTIAL DUTIES
- Obtains benefit information for services provided to patients by prescreening appointments and verifying insurance eligibility prior to services, relaying this information to patients, allowing for prior authorization, obtaining referrals, and collection out of pocket payments from patients.
- Develops relationships with patients providing counseling regarding their fiscal responsibilities in relationship to their care.
- May post charges for services to patient accounts, ensuring correct billing for these services following company, federal and third-party insurance carrier billing rules and regulations, following up as needed to ensure collection of monies owed from all sources.
- Responsible for protecting Personal Health Information (PHI) and maintaining compliance with WCs Privacy Policy. Uses the minimum PHI necessary when completing assignments.
- Promotes, establishes, and maintains open and effective communications with all members of WC.
- Any other duties as assigned.
Requirements :
EDUCATION AND EXPERIENCE
Minimum of a High School Diploma and two years of related experience; or equivalent combination of education and / or experience.
Work related experience should be in the medical business office environment. Educational experience, through in-house training, formal school or related curriculum, should be applicable to medical billing and / or accounting.
COMPETENCIES
- Advanced knowledge of general medical terminology, CPT and diagnosis coding, medical insurance and managed care.
- Exceptional organizational and time management skills to ensure maximum productivity.
- Exceptional verbal, written, and interpersonal communication skills with the ability to apply common sense; to carry out instructions, write reports, correspondence, and speak clearly to clients, employees and owners.
- Ability to deal with complex problems involving multiple facets and variables in non-standardized situations.
- Ability to maintain confidentiality and handle sensitive information with discretion.
- Ability to work with little supervision while performing duties.
WORK ENVIRONMENT AND PHYSICAL DEMANDS
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
This position will occasionally have exposure to contagious diseases; bodily fluids including blood; toxic substances; medicinal preparations and other conditions common to a clinical environment.
This position requires up to 5-10% travel to other WC locations.
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