Job Details

Job Summary:

The Financial Coordinator provides guidance and information to patients on insurance and the implications of different insurance options to allow patients to make informed insurance decisions. The Financial Coordinator helps patients understand their insurance. Financial Coordinator ensures that commercial patients' insurance questions are addressed and resolved and assists under-insured and uninsured/pending coverage patients with eligibility and/or coverage options. Financial Coordinator provides accurate and timely patient, revenue, and treatment trend reporting to the Group insurance Manager and operations teams that it supports.

Duties and Responsibilities:

The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive.

Insurance Counseling

• Conduct patient insurance education while operating within established compliance parameters of the company
• Discuss situation and options if employment status changes or other situations change.
• Act as a liaison between patients, Clinical teammates, and billing office to resolve patient insurance issues and/or concerns
• Proactively build relationships with patients
• Proactively review patient lists to identify potential patient insurance issues
• Support patient collection activities as necessary by educating patients about balances due and encouraging them to work with the billing office to resolve
• Partner with Clinical teammates to maintain awareness of patient insurance questions
• Complete and follow up with paperwork when claims are disputed for non-payment

Patient Interaction

• Review insurance benefits with patient to help them understand patient responsibilities such as deductible, coinsurance, and copays
• Review any financing paperwork.
• Ensure patient questions or issues are addressed effectively
• Provide information to patients to help them find and/or secure all options for insurance coverage
• Review paperwork with patient including authorization forms
• Meet with patients receiving direct payments from insurance companies to ensure payments are forwarded on to Arista Recovery.

Facilitate Conference calls

• Identify registration process improvement opportunities
• Brainstorm and help resolve incomplete or problematic registration challenges
• Manage and update tracking tools as appropriate
• Review trends with team and operational leadership

Reporting

• Provide monthly reporting and analysis on key metrics related to patient education and advocacy to senior management
• Compile monthly operations reviews on assigned patient portfolio
• Participate in scheduled SAMs calls to review patient portfolio with designated facility teammate

Other duties and responsibilities as assigned including but not limited to:

• Attend team meetings, phone conferences, and training as needed
• Know, understand, and follow teammate guidelines, employment policies, and department or company procedures
• Participate as requested in special projects and Insurance Management Team initiatives
• Mentor team members as appropriate on Insurance Management practices
• Shadow new hires to mentor and to provide training as needed
• Telephonic Communication 100%

MINIMUM QUALIFICATIONS

Education/Experience/Qualification:

• High school diploma or equivalent required
• Minimum of two (2) years' experience working with Medicare and Medicaid insurance as well as commercial insurance plans and benefits (PPO, HMO, POS, EPO, Indemnity) preferred
• Minimum of two (2) years' experience in a healthcare organization working with clinical staff and patients preferred
• Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint, and Outlook preferred