Under limited supervision, determines liability on patient accounts, and works with patients or their representatives to provide financial assistance or secure payment. Facilitates processing of Medicaid and other financial assistance application and initiates eligibility determination for Health System's charity care fund. Follows up on delinquent accounts until resolved.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIESEstimates patient liability on accounts, evaluates credit histories and other resources.
Counsels patient on cost of treatment, insurance benefits, resources for payment, and financial assistance. Secures and documents payment arrangements.
Verifies and updates patient demographic information on registration and billing systems.
Audits bills for accuracy.
Collects deposits and payments.
Assists potentially eligible patients in completing forms for Medicaid, CMHS charity care and other sources of financial assistance within required timeframes.
Reviews delinquent accounts to ascertain previous collection action taken, status and extent of insurance coverage and potential collectibles.
Contacts those who have not responded to payment requests. Monitors monthly payers.
Re-bills, COBS, and original bills third parties to charges posted after the billing and transfer date.
Answers inquiries and resolves complaints concerning account collection.
Processes adjustments to Accounts Receivable, include refunds.
Prepares reports and maintains account activity logs.
Acts as liaison with other Trinity Health service areas, family members, and physicians regarding billing requirements, and financial assistance, and coordinates activities to avoid reimbursement delays.
Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps to identify problems, offer solutions, and participate in their resolution.
Maintains the confidentiality of information acquired pertaining to patient, physicians, employees, and visitors to Trinity Health Hospitals. Discusses patient and hospital information only among appropriate personnel in appropriately private places
Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.
Behaves in accordance with the Mission, Vision and Values of Trinity Health System.
REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE
Education:
Requires high school diploma or equivalent and one year of specialized training.
Experience:
One to two years progressively more responsible related work experience
REQUIRED SKILLS AND ABILITIES
Knowledge of basic accounting principles and patient billing procedures.
Interpersonal skills necessary to communicate effectively with patients and families when determining financial status, establishing payment arrangements, and collecting accounts, as well as with insurance companies and other Patient Financial Services department staff.
Analytical skills necessary to calculate patient liability, income status and solve problems related to credit and collection matters.
Demonstrated knowledge of SJMH patient accounting systems and accounts receivables.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.