Financial Resource Specialist

MERCY HEALTH CORPORATION • Janesville, WI • 1h ago

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

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