Patient Financial Specialist - Signature Health, Inc.
Mentor, OH 44060
About the Job
Patient Financial Specialist
Are you looking for an organization where you can grow while making a positive impact on people's lives? At Signature Health, our purpose is to provide integrated healthcare for our community specializing in patients with mental illness and/or addiction because we want people to realize their highest potential.
Our core values are the foundation of who we are:
- People First mindset where we honor our colleagues and patients
- Striving for Excellence in our work each day
- Can Do approach where we roll up our sleeves in response to opportunities and challenges
In addition to a rewarding career, as a full-time employee, you will have access to the following employer/employee paid benefits:
Full Time:
- Medical, Dental, Vision
- Robust earned paid time off program (PTO)
- 401k match
- Various Life Insurance Options
- Short- and Long-Term Disability (Not applicable for school-based employees)
- Federal Loan Forgiveness Program (available on eligible on roles)
- HealthJoy - no cost medical and mental health online resources available Day 1 (coverage extends to family members living in the same household)
- Tuition & Professional Development Assistance
If you value the people around you, strive to be the best version of yourself and have a can do mindset, then Signature Health could be the best place for your next career. Read below on how you can make a difference in our community and apply today!
SCOPE OF ROLE
Reporting to the Supervisor, Patient Financial Services, the Patient Financial Specialist proactively assess patients to determine need for financial assistance. You will be relied on to create a welcoming, professional and efficient experience for patients. The Patient Financial Specialist will be successful in their role by creating an outstanding patient services experience.
HOW YOU’LL SUCCEED:
- Proactively screen patients with scheduled appointments to assess need for authorizations, identify past due balances or challenges with claims and determining benefit eligibility.
- Educate and provide Financial Representatives with information regarding insurance, benefit, and financial policies and procedures impacting care delivery.
- Make appropriate linkages to resolve complex financial issues impacting care delivery.
- Review and audit daily reports to investigate and take action when needed to correct coverages and balances (including denials, co-insurance, co-pays, etc.).
- Work directly with providers and Financial Representatives to provide advice on financial assistance and direction on options for patient situations.
- Demonstrate a high level of problem solving expertise and assist with denied claims; offer additional options for assistance in resolving the account
- Participate in all assigned staff meetings and staff development programs.
- Comply with all agency policies and procedures.
- Maintain all aspects of HIPAA, promoting patient confidentiality and right to privacy.
- May be required to perform remote services as determined by Signature Health.
- Adherence and completion of compliance training provided by Signature Health.
- Responsible for and completes all productivity/documentation requirements.
- Participate in all assigned staff meetings and staff development programs.
- Demonstrate appropriate attendance and punctuality in adherence with Signature Health policies.
- Other duties as assigned.
KNOWLEDGE & EXPERIENCE:
- High School Diploma or equivalent required.
- 3-5+ years’ of experience working with payer sources, such as Medicare, Medicaid and Commercial insurances required.
- 3-5+ years’ experience in medical billing and/or coding preferred.
- American Heart Association (AHA) Basic Life Support (BLS) certification required.
- Proficient computer skills with a working knowledge of Microsoft Suites required, such as Excel, Word, Teams, Outlook.
WORKING CONDITIONS:
- Work is normally performed in a typical interior/office/clinical work environment.
- While hours of operation are generally standard, flexibility to work evenings and extended hours may be required.
- Requires periods of sitting, standing, telephone, and computer work.
- Hearing: adequate to hear clients or patients in person, over the telephone or through telehealth technology.
- Speaking: adequate to speak to clients or patients in person, over the telephone or through telehealth technology.
- Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.
- Physical effort required: occasional lifting and carrying items weighing up to 15 pounds, unassisted.
- Possible exposure to blood borne pathogens while performing job duties.
- Frequent bending, reaching, and repetitive hand movements, standing, walking, squatting and sitting, with some lifting, pushing and pulling exerted regularly throughout a regular workday.
- Sufficient dexterity to operate a PC and other office equipment.
This Success Profile is not an exhaustive list of all functions or requirements that you may be required to perform; you may be required to perform other job-related assignments as requested by your supervisor or the company. You must be able to perform the essential functions of the position satisfactorily; however, if requested, reasonable accommodations may be made to enable you to perform the essential functions of this job, absent undue hardship. Signature Health may revise this Success Profile at any time, with or without advanced notice.
All employees of Signature Health are required to comply with the Signature Health Annual Influenza Vaccination Policy. This policy requires employees to obtain an annual flu vaccination. A medical and/or religious exemption may be submitted for review by the Signature Health Review Committee. Exemption requests are not guaranteed to be approved. Signature Health is a drug-free workplace. After receiving a conditional job offer, all applicants must successfully pass a pre-employment drug screen.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
Administrative