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Financial Assistance Specialist
RENO NV 89505
Category: Health Care Industry
  • Your pay will be discussed at your interview

Job code: lhw-e0-85747931

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Renown Health

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  Job posted:   Mon Mar 12, 2018
  Distance to work:   ? miles
  1 Views, 0 Applications  
Financial Assistance Specialist
Financial Assistance Specialist

Requisition ID: 137813
Department: 100630 Patient Financial Assistance
Facility: Renown Regional Medical Center
Schedule: Full Time - Eligible for Benefits
Shift: Varies
Hours: varies
Category: Clerical & Administrative Support
Location: Reno, NV

Position Purpose: Performs Financial Specialist functions through the accurate gathering of demographic, sponsorship or guardian data, insurance, financial and statistical information from a variety of sources, i.e., patients, patient's families, physicians, physician office staff, county and/or governmental agencies. For patients without a payer source the Financial Assistance Specialist will ensure that the patient is screened and assisted with the applications for government, local or charity as well as Financial Assistance Program (FAP) for Renown. The responsibilities of the Financial Assistance Specialist includes but is not limited to the following:

* Obtaining and accurately entering demographic and financial information into the computer system. * Identifying all insurance payer sources and payer order sequence * Verifying insurance eligibility and benefits * Timely insurance notification * Determining estimated cost for services being rendered * Identifying and collecting patient financial obligation amounts, i.e., co-payments, co-insurance, deductibles, etc. * Facilitate the application process for financial assistance with all applicable and appropriate patients including pre-admission, bedside visits while in-house, and follow up after discharge through telephone, on site or field visits. * Follow up with patients to obtain all supporting documentation for each application process. * Maintain documentation on all work activity for each patient account in the appropriate systems. * Maintain communication/correspondence with patients, representatives, designated family members, appropriate Renown staff and all government entities on all accounts served. * Completes application summary forms for FAP Committee review and presentation. * Monitors all cases processed for financial assistance and by the FAP Committee to completion. * Completes documentation to justify adjustments for processing by the Central Business Office. * Issues all decision letters to patients who apply for FAP * Ensures all patient co pay balances are collected as a result of the FAP approval process.

Nature and Scope: This position is responsible to conduct a comprehensive financial screening, in person or by telephone interview, to identify all potential payer sources including commercial insurance, federal, state and county assistance programs, and follow through with obtaining and processing the appropriate application(s) in a timely manner. Whenever possible, the screening will be done prior to admission. The employee is responsible to ensure this process is expeditious, compassionate and patient friendly. This position is accountable for timely coordination and accurate communication of information relative to all aspects of the financial assistance process, and for notification and/or timely submission of applications to the appropriate government entity.

This position takes initiative to ensure that accounts are financially secured and reviewed to avoid denied days and lost reimbursement to the health system. The employee must use diplomacy in communicating effectively to patients, guardians, family members, physicians and co-workers. In addition, the employee is responsible to coordinate with the interdisciplinary team, i.e. Case Management, Social Services, Nursing, etc. to ensure a seamless admission and discharge process occurs for all patients referred to the department. The employee will maintain all necessary documentation with regard to all accounts processed. This position is responsible for the completion of the FAP applications and ensures timely submission to the FAP Committee. This position is responsible to always exhibit the highest level of professionalism in accordance with the Renown Health's Values.

This position does not provide patient care. The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. Minimum Qualifications: Requirements - Required and/or Preferred Education: Must have working-level knowledge of the English language, including reading, writing and speaking English. Bachelor's degree preferred. Bilingual candidates (Spanish) will be given preference. Requires the ability to perform intermediate math skills. Understanding of medical terminology. Experience: A minimum of two years experience in commercial medical insurance benefits and eligibility verification, Medicaid screening, applications and/or eligibility, charity applications and qualification, medical claims processing or medical financial counseling experience preferred Hospital Business Office claims processing, medical claims follow-up , and/or medical professional office with customer service financial interaction experience highly preferred. Experience in an acute care hospital preferred. License(s): Valid State of Nevada or California driver's license and ability to pass Renown Health's Department of Motor Vehicle Report criteria. Certification(s): Nevada Division of Insurance Exchange Enrollment Facilitator Certification required within twelve (12) months of hire date. Computer / Typing: Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Thorough knowledge and proficiency with MS Excel and MS Word. Experience with EPIC system preferred. EEO/M/F/Vet/Disabled

Renown's Values
As the area's only not-for-profit and locally-governed healthcare network, we pride ourselves on quality care for the community.

In order to do that, we provide employees with an environment and culture that supports growth and empowers you to do their best every day.

Our employees share our commitment through our mission, vision and values.

Our Mission: To make a genuine difference in the health and well-being of the people and the communities we serve.

Our Vision: With our partners, we will inspire better health in our communities.

Our Values: We are caring and compassionate. We demonstrate respect and integrity. We collaborate with our patients, families, physicians and communities. We strive for excellence in all we do.

Quality care for our patients requires the contributions of every person on the team. We can't do it alone. We're looking for employees with a winning spirit whose values are aligned with Renown Health.

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