Employment Type:

Full time

Shift:

Description:

Position Purpose:

• The Patient Financial Specialist II:  Pre-determines, notifies patient and collects patient financial responsibility on any service prior to date of admission.  Investigates confidential patient financial data for purposes of determining patient responsibility and/or qualification for financial assistance.  Functions as a liaison between physician, office staff, insurance companies, patients and hospital in obtaining vital financial information.  Analyzes and makes corrections as necessary in STAR Patient Care, STAR Patient Accounting and Pathways Healthcare Scheduling systems. Performs advanced verification of insurance, pre-certification, and benefit determination.
• Location : Mount Carmel St.Anns, 500 S Cleveland Ave, Westerville, OH 43081
• Hours of office: Monday through Friday 7:15a – 4:30p

What You Will Do:

• Demonstrates use of good judgment when dealing with patients, physicians and clinical staff.
• Demonstrates the ability to effectively and assertively communicate and negotiate financial obligations and resolve patient inquiries with minimal supervision.
• Promptly answers the telephone and appropriately acknowledges, greets, and assists all customers.
• Determines and collects patient financial responsibility utilizing all resource tools available.
• Acts as liaison with all internal and external customers and facilitates problem resolution.
• Analyzes and investigates all referrals for inpatient and outpatient admissions as requested by PFS I Associate.
• Demonstrates the ability to diffuse and handle difficult situations.
• Responsible for ensuring all medical necessity regulatory requirements are followed.
• Completes advanced insurance verification, pre-certification and benefit determination and communicates insurance requirements to physician offices, patients and hospital departments.
• Manages, directs, updates and monitors all patient referrals to FirstSource to determine Medicaid/government assistance eligibility before payment obligations are pursued.
• Monitors and completes statistical reports related to collection of patient responsibility to meet department goals.

Minimum Qualifications:

• Education: High School Diploma or GED required; Associates Degree in Healthcare Administration, Business Administration, or related field preferred
• ODJFS Certification preferred.
• 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.
• Demonstrates working knowledge and understanding of both governmental and private third-party payor benefits, requirements and regulations.
• Demonstrates working knowledge of ICD-9 and CPT coding and medical terminology.
• Demonstrates excellent verbal and written communication skills.

Position Highlights and Benefits:

• Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
• Retirement savings account with employer match starting on day one.
• Generous paid time off programs.
• Employee recognition programs.
• Tuition/professional development reimbursement.
• Relocation assistance (geographic and position restrictions apply).
• Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
• Employee Referral Rewards program.
• Mount Carmel offers DailyPay - if you’re hired as an eligible colleague, you’ll be able to see how much you’ve made every day and transfer your money any time before payday. You deserve to get paid every day!
• Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.

Ministry/Facility Information:

Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you’re seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!

Our Commitment to Diversity and Inclusion
 

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