Patient Financial Services

Summary:

• Location: 466 Lex 14th floor, Northwest, New York, NY
• Work Mode: Local
• Duration: 13 weeks
• Full Time, M-F 8AM-4PM

Responsibilities:

• Obtain and verify insurance coverage by interviewing patients, families, and employers, and verifying with insurance companies.
• Ensure notifications, authorizations, and pre-certifications are made when appropriate.
• Assist self-pay patients in obtaining coverage for hospitalization.
• Secure promise of payments for non-covered services.
• Ensure correct categorization of patients with regard to financial class, insurance company code, etc.
• Work with medical areas to ensure requested clinical information is supplied timely.
• Receive and process information required for submitting third-party bills.
• Ensure bills are complete and comprehensive.
• Maintain up-to-date knowledge of electronic claim submission software and payer edits.
• Review and monitor billing exception reports for correction/re-submission.
• Resolve all credit balances by requesting refunds or making appropriate allowance transactions.
• Respond to and investigate all patient inquiries involving financial issues.
• Call insurance companies to secure payment and take appropriate action upon denial or request for further information.
• Process all Medicare, Medicaid, and company payments for participating hospitals through electronic remittance processing software.
• Prepare daily reconciliation of all remittances and checks posted.
• Review each payment for compliance to rules for the carrier and post appropriate allowances.
• Ensure payment posting is kept up-to-date.
• Perform other job-related duties as assigned.

Requirements:

• High School diploma or GED
• Minimum one year of related experience
• PC/Data entry keyboarding skills
• Effective communication skills
• Solid working knowledge of third-party insurance payors
• Ability to demonstrate compassion and strong customer service skills

Preferred Skills:

• Bilingual (Spanish) preferred