Financial Representative Specialist

Reviews and confirms demographic data collected during the registration process. Reviews daily census and visits in-house patients to provide financial counseling; issues payor denials; assist with outside agencies to ensure coverage; and/or ensure proper document signage prior to patient discharge. Collects co-pays for emergency room patients.

Requirements:

• High School or GED
• 1 to 3 years experience
• Experience with Microsoft Office applications
• Ability to type 35 wpm

Major Responsibilities:

1. Monitors in-house census to identify self pay admits from previous day. Visits all self-pay patient admissions to determine payor source; discuss financial arrangements; or advise of payment alternatives for services.
2. Identifies accounts eligible for state or federal aid. Assists in completion of applications for federal; state; local; or in-house financial assistance programs.
3. Verifies number of benefit days available for all Medicare admissions.
4. Works with pre-certification department and utilization review to issue notices of non-coverage for all payors and/or lifetime reserve notices to Medicare beneficiaries.
5. Provides estimates to patients or physicians as requested.
6. Provides updated information on payor source to Utilization Review and Pre-certification Department to ensure proper authorizations and medical reviews.
7. Reviews prior accounts history and identifies outstanding balances; informs the patient and establishes a payment plan. Documents all transactions and updates information using the Patient Accounting System.
8. Follows up with patients for necessary signatures if they were incomplete at the time of emergency room registration or hospitalization.
9. Maintains knowledge and understanding of Medicaid eligibility and Financial Assistance requirements.
10. Collects emergency room co-pays from patients and issues receipts using Patient Accounting System. Confirms accurate demographic information.

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