/RESPONSIBILITIES Secures and obtains accurate patient data for complete financial clearance of admission of various admission types and locations. Interviews patients to determine accurate funding source information. Determines benefit level, coordination of benefits, coinsurance amounts for hospital and clinic services using knowledge of insurance verification.
Performs pre-certification, referral coordination, and financial counseling. Communicates with pay patients about service charges and assists patient with payment arrangements. Collects copays, coinsurance and other monies that may be owed by patient.
Ensures proper financial clearance for timely and correct reimbursement for services rendered at UH. EDUCATION/EXPERIENCE High school diploma, GED, or equivalent experience required. Must have six (6) months of financial counseling related experience in a hospital/physician office setting.
Experience and knowledge in obtaining insurance benefits, pre-certification and collection of monies is required. Knowledge in hospital contracts, in-network vs. out-of-network benefits and negotiations is preferred. Basic medical terminology and ICD 9 coding experience is preferred.