Financial Coordinator II

At WHA, we're a team, passionate about humanizing healthcare. We're inspired by the diverse stories, strength and resilience of our patients and the unique choices they make in pursuing health for themselves and their families. We envision a world where every person has the opportunity to achieve their optimal health and we're here to support that journey with personalized, culturally competent care and knowledge.

The Financial Coordinator provides assistance to patients, clinicians, and staff concerning insurance and account inquiries. Ensures patients are advised of financial responsibility and facilitate patient payments via collection of deposits, setting up payment plans, and processing financial assistance when applicable. Provides quality customer service by handling incoming patient calls. Offers financial assistance to patients according to WHA policy and is the liason between patients and their insurance companies, coordinating payments and answering questions from both parties. Educates patients about payment and financial assistance options. Runs reports to ensure patient's insurance is contracted and sends self-pay estimates to uninsured and non-contracted patients. Obtain prior authorizations for various services.

Duties:

• Meet personally or via phone with patients to review their OB benefits, including calling to review, arrange payment plans and posting deposits.
• Obtain referrals from primary care offices for patients if their insurance requires a referral.
• Offer financial assistance /discounts to patients according to WHA policy as well as refund requests.
• Determine when authorization is necessary for gynecological problem visits for Medicaid patients, and requests authorization as needed.
• Provides assistance to patients, clinicians, and staff concerning insurance and account inquiries, including but not limited to obtaining insurance referrals, determining in network facilities & coverage, as well as running daily reports (Appointment, OHP & CF/SMA). Assists with insurance benefit verification including eligibility.
• Examine appointment reports for potential insurance problems or patients with delinquent accounts. Add Alert Notes to accounts as necessary.
• Answer live patient phone calls and staff messages, CRM messages, Pt MyHealth messages and phone notes, often calling patients back.
• Provide assistance to patients, staff and clinicians concerning insurance benefits and account inquiries.
• Verify eligibility and benefit coverage utilizing insurance websites when applicable, and as needed or requested.
• Alert reception team to ensure patients complete appropriate forms as needed. Acts as a resource for follow-up on required forms.
• Act as a liaison between the administrative office, clinicians and other clinical staff in communicating information regarding patients, insurances and billing.
• Collect and record patient deposits and provide receipts.
• Run daily OHP and Appointment reports (Sending DX check flags, obtaining referrals & updating insurances, checking for balances, payment plans and delinquent accounts). Confirm providers are contracted with insurance companies for appointments scheduled.
• Answer voicemails, incoming calls and outgoing calls to patients, insurance companies & PCP offices.
• Run daily CF/SMA/NIPT reports including obtaining prior authorizations as needed or faxing chart notes to Quest as requested.
• Run daily appointment reports on patients coming in within the next 2 days. From these reports, we see if any balance is owed, referrals needed, correct insurances that are entered wrong, make sure estimates are attached to visits when needed like self-pay estimates or surgery deposits.
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