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Mosaic Health System logo

Remote Lead Patient Financial Clearance Representative

Mosaic Health System
Posted 6 hours ago
🇺🇸United States🏠Remote📁Healthcare/Clinical
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Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time Under general direction of the Patient Financial Clearance Manager, responsible for supporting the Patient Financial Clearance team process of Pre-Service registration and patient balance collections. Assists patients with resolution to their outstanding patient balances. Responsible for assisting the Benefit Advisory and Mosaic Advocacy Program Department in determining potential sources of funding, including but not limited to Medicaid SSI, and other third-party liability payers. Provides excellent customer service while answering and resolving questions related to the patient statement. Assists with patient complaint escalation and resolves billing disputes. Maintains the department orientation pathways, training material and compliance audits as needed. Advises patients and/or family members of their financial obligation via several modes of communication, including face-to-face communication. This includes verifying patient eligibility/benefits and estimating the patient's financial obligation. Obtains payment in full or secures adequate payment arrangements for hospital and ambulatory patient health services. Serves as resource to Patient Financial Clearance, Insurance Financial Clearance, Benefit Advisors, and Mosaic Advocacy Program, Care Management, and other hospital staff for patient billing and collections needs. Assists in the identification of hospital, public, and/or private financial assistance programs for patients unable to meet their financial obligations and hands off to Enterprise Financial Counseling for the completion of the application processing. Assists patients/families in the education of our financial assistance program applications and connecting them with Enterprise Financial Counseling resources for assistance. Inputs data in electronic database(s) and completes daily reports timely and accurately. Interacts with other third-party vendors, Care Management, county health officials, and D.H.S. workers to assure a timely, efficient and accurate financial case. Attends hearings at the state and local level, as needed. Supports the Patient Financial Services Call Center, providing superior customer service to the patient and family by resolving all patient inquiries regarding financial counseling and collection policies. Keeps current with all department standards to ensure compliance with state and federal regulations. Other duties as assigned Education H.S. Diploma - Required Associate's Degree - Preferred Work Experience 2 Years - Patient accounting, billing, or non-clinical healthcare experience - Required Computer (MS Word and Excel) proficiency - Required Licenses and Certifications Upon Hire Travel Requirements Skills and Abilities Essential Technical/Motor Skills Communicates clearly and concisely; good hand and eye coordination. Interpersonal Skills Excellent oral and written communication skills. Maintains good rapport and professional relationship with caregivers. Demonstrates excellent customer service skills by maintaining friendly, courteous and helpful behaviors. Essential Physical Requirements Ability to operate equipment on continuous/repetitious basis such as computer, telephone, fax, and copier. Multi-skilled responsibilities require sitting, walking and standing. Essential Mental Abilities Analyze and interpret data. Excellent short term and long-term memory. Ability to perform multiple tasks and follow system policies and procedures. Essential Sensory Requirements Visually assess paper and electronic data, hear telephone and converse. Exposure to Hazards Other Skills and Abilities Demonstrated self-starter. Excellent oral, written, and interpersonal communication skills; excellent organizational skills. Ability to quickly assess and respond appropriately to emergency situations. Ability to comprehend medical terms. Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles. Knowledge and experience with a variety of information systems and Internet usage; experience with spreadsheet and word processing software. Ability to work independently and manage individual workload to meet productivity standards along with a varied schedule, which includes weekend and evening coverage.

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