Financial Resource Specialist

JOB REQUIREMENTS: OVERVIEW This role manages patient billing and financial accounts by reviewing balances, processing payments, assisting with insurance issues, and helping patients understand their financial responsibilities. The position involves working with patients, insurance companies, and healthcare teams to resolve billing concerns, set up payment plans, identify financial assistance options, maintain accurate account records, and provide excellent customer service. SCHEDULE: 40-hours per week LOCATION:Mercyhealth Hospital and Trauma Center Emergency North, Janesville, WI PAY RANGE: $18.65 - $27.97 ESSENTIAL DUTIES AND RESPONSIBILITIES Follows and administers all Mercyhealth financial policies and guidelines. In-depth knowledge of collection laws, an understanding of statement cycles, and the bad debt process. Maintains a thorough knowledge base of the registration and cash drawer process. Follows all necessary frontline workflows in regard to payment posting, cash drawer balancing and adheres to all cash compliance policies. Researches and performs audits on patient accounts to determine where balances are due, from third party payers or patient responsibility. Meets with patients in person or via telephone to counsel patients/customers on billing concerns, account balances, services costs/estimates, and various insurance resources. Establishes payment plans with patients and follows up on broken payment arrangements when appropriate. Researches patient accounts, processes refunds, and pay in full discounts. Communicates with physicians, patient care staff and hospital/clinic reception regarding out of network insurance status, medical urgency, and other patient billing/ insurance issues. Thorough understanding of how to identify if charges are correct. In depth understanding of what information is available to assist in the process, such as the medical record, chart view, MPI, billing, and coding reviews as appropriate Navigates the billing system and review patient accounts for accuracy. Initiates appropriate follow-up with patients, billing department, coding department, and insurance companies to ensure payment for services. Familiar with managed care contract reimbursement rates. Understands terminology associated with contracts as well as familiar with terminology and calculations used on a payment voucher and patient's explanation of benefits. Understands Governmental and Commercial insurance reimbursement rates. Maintains an extensive knowledge base of programs offered through the government, the insurance marketplace, Care Credit, foundation grants, and other financial resource options. Assists patients in obtaining copay and drug replacement assistance for services provided. Screens patients in need and provides... For full info follow application link. EOE&AA/M/F/Vet/Disabled. Mercy is an equal employment opportunity employer functioning under Affirmative Action Plans. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/24296603A4D8413F