PATIENT ACCESS FINANCIAL SPECIALIST
Erie County Medical Center Corporation - Buffalo, NY

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The work involves providing complete registration and financial counseling services for all patients requiring medical treatment at the Erie County Medical Center Corporation. The incumbent performs various clerical functions including registration of patients, collecting and inputting demographics, verifying third party payers, identifying and assisting self-pay patients, arranging payment schedules and collecting co-payments. The work is performed under the direct supervision of the Patient Access Services Supervisor. Supervision is not a function of this position. Does related work as required.

TYPICAL WORK ACTIVITIES:

Registers patients, gathers all demographics including payer information and inputs information into computer system; Obtains appropriate signatures for consent of treatment and authorization to bill and receive payment from the patient's insurance company; Verifies third party payers using online or telephone verification system; Determines insurance co-payments due from the patient at the time of service; collects required amounts at the point of discharge, issues receipts; Identifies and interviews patients without insurance to assess qualifications for government entitlement programs or uncompensated charity care programs; Determines charity care cases in accordance with hospital policy; Negotiates contractual payment plans with patients; Completes various forms including HIPPA privacy notification, hospital lien for personal injury cases, no fault insurance and Medicare Secondary payer Questionnaire; Serves as a central resource to patients and families regarding payment or repayment assistance for services; Complies with applicable federal and state regulatory agency guidelines, including HIPPA privacy standards, established departmental policies and procedures, objectives, quality assurance, safety, environmental and infection control standards.

FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES, AND PERSONAL CHARACTERISTICS:

Good knowledge of Centers for Medicare and Medicaid and Joint Commission regulations as applied to Patient Access processes; good knowledge of HIPPA privacy standards; good knowledge of hospital systems utilized in Patient Access verification systems, imaging systems and electronic medical records; working knowledge of medical terminology; ability to establish and maintain working relationships; ability to deal effectively with a diversified public; ability to understand financial modeling; ability to apply basic mathematical functions; ability to communicate effectively, both in writing and orally; skilled in the use of Microsoft applications; good interviewing skills; courtesy; tact; physically capable of performing the essential functions of the position with or without reasonable accommodation.

MINIMUM QUALIFICATIONS:

Graduation from high school or possession of a high school equivalency diploma and one (1) year of experience in patient registration, admissions, health insurance verification, medical billing, or healthcare financial counseling, credit or collection. NOTE: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting the full-time experience requirements.

Erie County Medical Center - 30+ days ago - save job - block
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