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SOLUS Financial Specialist | SOLUS | Fulltime | REMOTE
Methodist Le Bonheur HealthcareRemote Associate - Tennessee, United States, United StatesRemotefull_timeVerifiedPosted 21 Jan 2025
About the role
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South.
A Brief Overview
The SOLUS Financial Specialist is responsible for the "Self-Pay"/Patient Responsibility collection process. The incumbent trains front-desk staff on proper insurance verification methods and discusses and resolves financial matters with patients/guarantors, front-desk staff and reconciles with the billing department. Trains/Coaches staff on setting up patient payment arrangements (Patient Payment Plan) and collects monies due from patients/guarantors. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
What you will do
- Discusses and resolves financial matters with patients and guarantors who are uninsured, underinsured, and/or owe outstanding amounts to MLH.
- Makes payment arrangements and administers the Patient Payment Plan process, using special expertise in insurance eligibility and coverage verification.
- Monitors collection process to ensure all payments are posted and account balances remain on active arrangements.
- Trains staff to set up patients on payment arrangements and manages ongoing collection process, using special expertise in insurance eligibility and coverage verification. Trains front-desk staff to verify insurance eligibility, identify coverage, lead discussions with patients on their financial responsibility and documents results of inquiry before patient/guarantor arrives at practice for scheduled services.
- Supports Director of Revenue Cycle in other various collection functions. Sets collection goals and establishes performance improvement plans to achieve those goals in collaboration with the applicable practice/office manager and Director of Revenue Cycle.
- Communicates with Director of Revenue Cycle regarding individual patient financial counseling matters that occur at the practice that may involve follow-up by Revenue Assurance Professionals (RAP).
- Performs other job functions as requested.
Education/Formal Training Requirements
- High School Diploma or Equivalent
Work Experience Requirements
- 3-5 years Billing, coding, or insurance verification
Knowledge, Skills and Abilities
- Excellent communication and diplomacy skills.
- Excellent understanding of Insurance contracts and processes.
- High ability to train/coach others on best practices.
- Knowledge of practice management systems and basic computer skills.
- Detail oriented, analytical thinking, excellent prioritization, and organizational skills.
Supervision Provided by this Position
- There are no lead or supervisory responsibilities assigned to this position.
Physical Demands
- The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
- Must have good balance and coordination.
- The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
- The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
- The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family,
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