Patient Financial Specialist

Patient Financial Specialist

Patient Financial Specialist
Category: Administrative/Clerical
Facility: Diley Ridge Medical Center
Department: Administration
Schedule: Casual
Shift: Rotating
Compensation: Highly Competitive
Hours: Varies
Job Details: High School/GED
Job Summary (Basic Functions)


· In accordance with the mission of Diley Ridge Medical Center, the Patient Financial Specialist-II, functioning in the spirit of team work, functions as a patient representative, collects accurate & complete registration / admission information; collection of all patient financial responsibilities, evaluates patient financial data to determine qualifications for financial assistance and / or patient financial responsibility, facilitates resolution of billing questions, and acts an information resource to physicians, physician offices and Center staff. Schedules patients in the facility scheduling system, for outpatient imaging and women's health services, prior to scheduling, performs verification of insurance, pre-certification and benefit determination.
· Functioning in the spirit of teamwork and cooperation, responsible and accountable for the delivery of care and services to patients served within theMedicalCentercampus, this may include acceptance of duties, responsibilities and / or special projects not specified within this Job Description.

Job Qualifications (Knowledge, Skills, and Abilities)


· Education: Associate degree preferred in HealthCare Administration, Business Administration or related field.
· High School Diploma or GED required.
· Experience: Prefer minimum of three years experience in a physician's office, clinic, hospital business office or related area dealing with the public in collection of data and funds.
· Able to perform data entry.
· Demonstrates understanding of Medicare, Medicaid and other third party information requirements and adheres to all third party regulations.
· Demonstrates a working knowledge of third-party payor benefits and requirements and regulations impacting registration procedures.
· Demonstrates a working knowledge of CPT and ICD-9 coding and payor reimbursement methodologies.
· Demonstrates excellent verbal and written communication skills.
· Demonstrates the ability to diffuse & handle difficult situations.
· Demonstrates good judgment in dealing with patients, physicians & clinical staff.
· Demonstrates the ability to effectively and assertively communicate and negotiate financial obligations, and resolve patient inquiries.
· Demonstrates resilience, a positive attitude and the ability to work well in a fast paced, rapidly changing environment.
· Demonstrates a working knowledge of medical terminology and of diagnostic testing & procedures.
· Demonstrates the ability to work with a minimum of supervision.
· Job Related Skills: Good communication, human relationship, & team orientation skills when dealing with co-workers, patients, families, physicians, and general public.