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Title

Patient Financial Service Specialist - HRG 

EOE StatementCPSI is a proud equal opportunity employer (EOE). However you identify and whatever background you bring, we welcome you to apply to any role that would make you excited to work in healthcare. All employment decisions are based on business needs, job requirements and individual qualifications, regardless of race, color, ethnicity, religion, sex (including pregnancy, childbirth, lactation, or related medical conditions), national origin, ancestry, age, marital status, sexual orientation, gender identity and expression, disability, veteran status, military or uniformed service member status, genetic information, or any other status protected by applicable federal, state, local, or international law. We are committed to being a company where people thrive by being themselves and are inspired to do their best work every day.
 
Description

The Patient Financial Service Specialist will perform the daily tasks of the Patient Financial Service, which includes, verification of patient eligibility, benefits, and accumulations; ABN completion; verification if CPT codes require authorization, predetermination or PCP referral; refer single case agreements to the hospital CBO; Create patient estimates; update patient demographics, and take payment. This is a working manager position where the manager may need to assist the line workers.

Available Shifts: 8:00AM-5:00PM Arizona Time, 9:30AM-6:00PM Pacific Time, 8:00AM-5:00PM Hawaii time

Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:

Responsible to follow guidelines set by CMS and other insurance companies and adhering to those guidelines

Provide feedback to management team on areas of concern or process improvements.

Perform the daily work of the Patient Financial Engagement, which includes verification of patient eligibility, benefits, and accumulations; ABN completion; verification if CPT codes require authorization, predetermination or PCP referral; refer single case agreements to the hospital CBO; Create patient estimates; update patient demographics, and take payment.

 

 
Position Requirements

Minimum Requirements:

  • Education/Experience/Certification Requirements
  • Excellent communication (written and oral) and interpersonal skills.
  • Strong organizational, multi-tasking, and time-management skills.
  • Must be detail oriented and able to follow through on issues to resolution.
  • Must be able to act both independently and as a team member.
  • Minimum of two years’ experience in insurance billing.
  • Effective interpersonal and management skills
  • Knowledge of and adherence to regulations set by HIPAA
  • Knowledge and skills necessary to meet individual needs based on physical, psycho-social, educational, safety and other criteria appropriate for each individual patient
  • Organizational and prioritization skills and ability to use time effectively
  • Effective written and verbal communication skills
  • Proficient computer skills
  • Must be able to work in a seated position for extended periods of time
  • Must be able to focus on and read a computer screen for prolonged periods
  • Flexibility to handle a workload that fluctuates and grows with time

Preferred Qualifications:

  • Associates or bachelor degree
 
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Workers Compensation None Specified 

This position is currently accepting applications.

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