patient financial counselor

Yale University

<div><p>Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale!</p><p></p><p><b>
Overview</b></p><p>
Under the general direction of the Yale Medicine Pre-Estimation Manager, the Financial Counselor plays a critical role in supporting patients through the financial aspects of their care journey. This position is primarily responsible for proactively engaging with patients to determine their financial responsibility and provide clear, personalized estimates of the anticipated costs for medical services prior to those services being rendered.</p><p>
The Financial Counselor initiates direct communication with patients, via phone, secure messaging, or in-person consultations to explain insurance coverage, out-of-pocket obligations, and available payment options. They ensure patients understand the estimate by addressing questions, clarifying billing components, and offering empathetic guidance tailored to each patient&rsquo;s financial situation.</p><p></p><p>
In addition to providing estimates, the Financial Counselor is responsible for securing payment or establishing payment arrangements prior to service delivery. This includes discussing financial assistance programs, facilitating pre-service collections, and coordinating with clinical and administrative teams to ensure a seamless patient experience. Throughout the process, the Financial Counselor maintains a compassionate and professional demeanor, recognizing the stress financial uncertainty can bring and striving to empower patients with transparency and support.</p><p></p><p><b>
Required Skills and Abilities</b><br>
1. Superior oral and written communication skills. Independent decision-making.<br>
2. Knowledge and thorough understanding of insurance benefits and ability to interpret and discuss deductibles and co-insurances with patients. Excellent customer service skills and work well as a team player.<br>
3. Excellent attendance and reliability. Highly energetic and motivated with the ability to work under pressure and handle and maintain a high volume of accounts.<br>
4. Ability to maintain a high degree of tact, diplomacy and understanding in dealing with patients and maintain a high level of confidentiality in discussing personal and financial matters.<br>
5. Excellent organizational skills.<br>
<br>
<b>Preferred Skills and Abilities</b></p><p>
At least two years medical billing and customer service experience. Working knowledge of medical insurance authorizations and referrals preferred. Working knowledge of ICD-10 and CPT codes. EPIC experience. Understanding of Credit Balance process in EPIC. Working knowledge of Microsoft Office. Spanish speaking preferred.</p><p></p><p><b>
Principal Responsibilities
</b></p><p></p>1. Serves as a principal source of information on rules and procedures governing University accounts receivable. Oversees and instructs support staff. 2. Oversees maintenance of account files, ensuring accuracy and completeness. Reviews payment histories. 3. Resolves problem and delinquent accounts with supervisor and collection agency. Assists with final review and disposition of problem accounts. 4. Recommends and implements changes to systems and operating procedures. Composes form letters and correspondence used in accounts receivable activities. 5. Researches individual accounts. Summarizes findings in reports. Completes and processes forms. Performs clerical functions incidental to account activity. <b>Required Education and Experience</b> Four years of related work experience, two of them in the same job family at the next lower level, and high school level education; or two years of related work experience and an Associate's degree, or an equivalent combination of experience and education.<p></p><p><b>
Job Posting Date</b></p>
04/13/2026<p></p><p><b>
Job Category</b></p>
Administrative Support<p></p><p><b>
Bargaining Unit</b></p>
L34<p></p><p><b>
Compensation Grade</b></p>
Labor Grade D<p></p><p><b>
Compensation Grade Profile</b></p><p></p><p><b>
Hourly Range</b></p>
$31.83<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Duration Type</b></p>
Staff<p></p><p><b>
Work Model</b></p>
Hybrid<p></p><p><b>
Background Check Requirements</b></p><p></p><p>
All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit &quot;Learn about background checks&quot; under the Applicant Support Resources section of Careers on the It's Your Yale website.</p><p></p><p><b>
Health Requirements</b></p><p></p><p>
Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy.</p><p></p><p><b>
Posting Disclaimer</b></p><p></p><p>
The hiring rate of a role is determined in accordance with the provisions outlined in the respective collective bargaining agreement.</p><p><br>
The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department.<br>
<br>
The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual&rsquo;s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.<br>
<br>
Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA).</p><p></p><p><b>
Note</b></p><p></p><p>
Yale University is a tobacco-free campus.</p></div>

Account Assistant 4, Pre-Estimations

The University of Michigan

<p></p><div><div><div><h2 class="jobSectionHeader"><b>How to Apply</b></h2><p>
A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.</p><h2 class="jobSectionHeader"><b>
Job Summary</b></h2><p>
The Outpatient Financial Clearance and Authorization team is looking for a full-time Patient Business Associate to provide timely and thorough insurance and financial risk assessment review for scheduled outpatient services.
</p><h2 class="jobSectionHeader"><b>Mission Statement</b></h2><p>
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.</p><h2 class="jobSectionHeader"><b>
Why Join Michigan Medicine?</b></h2><p>
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world?s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.</p><p><b>
What Benefits can you Look Forward to?</b></p><ul><li>
Excellent medical, dental and vision coverage effective on your very first day</li><li>
2:1 Match on retirement savings</li></ul><h2 class="jobSectionHeader"><b>
Responsibilities*</b></h2><ul><li>
Take necessary steps to acquire accurate and complete insurance information to ensure first time quality and improve the patient financial experience at Michigan Medicine</li><li>
Evaluate all patient payment sources, verify insurance eligibility, collect insurance benefit information and document insurance referral and authorization requirements for outpatient appointments and surgeries</li><li>
Prepare the patient liability estimate using procedure code(s), diagnosis, payer fee schedule and benefit information.</li><li>
Contact and educate patients on out-of-pocket liability for hospital and professional services prior to appointment and collect and post pre-payments when appropriate</li><li>
Verify and update patient demographic and insurance information as needed</li><li>
Identify and promptly communicate changes in a patient's insurance coverage to the outpatient clinic as needed</li><li>
Refer patients with insurance concerns requiring immediate attention to the Patient Financial Counselor or alternate funding sources when appropriate based on financial assessment</li><li>
Clearly and thoroughly document all actions, contacts, outcomes, and interventions</li><li>
Respond to insurance related questions from Michigan Medicine customers with promptness and thoroughness</li><li>
Review, investigate and resolve outpatient hospital accounts being held due to insurance related issues post service and prior to claim submission</li><li>
Attend and participate in operational meetings, utilizing LEAN thinking and principles.</li><li>
Develop standard processes and incorporate efficiencies into daily workflow</li><li>
Assist and contribute to the overall achievement of the Michigan Medicine and Patient Business Services quality, operational and financial goals and objectives</li></ul><h2 class="jobSectionHeader"><b>
Required Qualifications*</b></h2><ul><li>
High school diploma in combination with experience working with health insurance or in a healthcare setting is essential.</li><li>
Minimum 2-3 years of progressively complex registration, billing &amp; third-party payers experience or working with health insurance or in a healthcare setting</li><li>
Outstanding customer service, written and verbal communication skills are mandatory.</li><li>
Ability to prioritize and handle multiple tasks, producing high-quality work in a timely, accurate and efficient manner is required.</li><li>
Proficiency in the use of computers and basic software applications is necessary.</li><li>
 Ability to be flexible and work within a team-focused, participative management framework is required.</li></ul><h2 class="jobSectionHeader"><b>
Desired Qualifications*</b></h2><ul><li>
An Associates Degree with three years of progressively complex healthcare registration, insurance and billing experience is preferred.</li><li>
Minimum 1-2 years of experience in healthcare billing, insurance verification, or related revenue cycle roles.
</li><li>Understanding and ability to interpret and communicate insurance benefit plans, insurance coverage, and payer guidelines information is recommended.</li><li>
Familiarity with CPT codes and payer fee schedules is desired.</li><li>
Knowledge of No-Fault Auto, Michigan Assigned Claims, Veteran's Affairs, third party and government payer rules and regulations is preferred.</li><li>
Experience working in the EPIC system is desired.</li></ul><h2 class="jobSectionHeader"><b>
Work Locations</b></h2><p>
This position is a remote position where you will work from home/virtually once training is completed and performance-based competency has been obtained. High speed internet is a requirement for this position and the cost is the responsibility of the staff member. There may be occasions where the staff member may need to report to the business office location, including meetings, computer or technology requirements, or to complete work that is not possible to handle remotely. The business location will have space available to reserve onsite work when required or necessary. Although there is some flexibility in working hours, the business location and operations are in the Eastern Time Zone and work hours must accommodate interactions, including video conferencing, with colleagues during these hours. Computing resources including required software applications, VPN, desktop or laptop computer, monitor, webcam, keyboard and mouse, will be provided by the employer. Remote staff are not provided with a mobile phone but are provided with computer telephone and fax technology. Office equipment such as desk, chair, and printer are not provided. Basic supplies such as paper and pens, are stocked at the business location and are available to remote staff for pick-up should they choose. Unless otherwise agreed in advance with your manager, additional hardware, software, printing, and cost of office supplies preferred by the staff member, are the responsibility of the employee.</p><p>
Technology Skills required include the ability to set-up computer and monitors and connect accessory items such as mouse, keyboard, and web cams. Remote computing support is available 24/7 via phone, chat, or ticketing system, to all staff members. Staff will be expected to effectively communicate and resolve most computing issues directly with computing support resources.</p><h2 class="jobSectionHeader"><b>
Modes of Work</b></h2><p>
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.</p><h2 class="jobSectionHeader"><b>
Union Affiliation</b></h2><p>
This position is covered under the collective bargaining agreement between the U-M and the Service Employees International Union (SEIU), which contains and settles all matters with respect to wages, benefits, hours, and other terms and conditions of employment.</p><h2 class="jobSectionHeader"><b>
Background Screening</b></h2><p>
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.</p><h2 class="jobSectionHeader"><b>
Application Deadline</b></h2><p>
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.</p><h2 class="jobSectionHeader"><b>
U-M EEO Statement</b></h2><p>
The University of Michigan is an equal employment opportunity employer.</p></div></div></div><p></p>
<br><div><div><h3 class="jobSectionHeader"><b>Job Opening ID</b></h3>
<div><p>274833</p>
</div></div><div><h3 class="jobSectionHeader"><b>Working Title</b></h3>
<div><p>Patient Business Associate</p>
</div></div><div><h3 class="jobSectionHeader"><b>Job Title</b></h3>
<div><p>Patient Business Associate</p>
</div></div><div><h3 class="jobSectionHeader"><b>Work Location</b></h3>
<div><p>Michigan Medicine - Ann Arbor</p>
</div></div><p>Ann Arbor, MI</p>
<div><h3 class="jobSectionHeader"><b>Modes of Work</b></h3>
<div><p>Mobile/Remote
</p></div></div><div><h3 class="jobSectionHeader"><b>Full/Part Time</b></h3>
<div><p>Full-Time</p>
</div></div><div><h3 class="jobSectionHeader"><b>Regular/Temporary</b></h3>
<div><p>Regular</p>
</div></div><div><h3 class="jobSectionHeader"><b>FLSA Status</b></h3>
<div><p>Nonexempt</p>
</div></div><div><h3 class="jobSectionHeader"><b>Organizational Group</b></h3>
<div><p>Exec Vp Med Affairs</p>
</div></div><div><h3 class="jobSectionHeader"><b>Department</b></h3>
<div><p>MM Rev Cycle (PTO)</p>
</div></div><div><h3 class="jobSectionHeader"><b>Posting Begin/End Date</b></h3>
<div><p>3/09/2026 - 3/23/2026</p>
</div></div><div><h3 class="jobSectionHeader"><b>Salary</b></h3>
<div><p>$47,465.60 - $68,868.80</p>
</div></div><div><h3 class="jobSectionHeader"><b>Career Interest</b></h3>
<div><p>Service Employees Intl Union (SEIU)</p></div></div></div>

Patient Business Associate

Sutter Health

We are so glad you are interested in joining Sutter Health!
<br><br>
<b>Organization:</b><br>
SSMC-Sutter Solano Medical Center
<br><br>
<b>Position Overview:</b><br>
Serves as the face to face point of contact for the patient at a client location. Obtains all necessary information to register and financially clear patients. Greets patients/family members and obtains and/or verifies relevant information in the process of registering financially clearing patients for service delivery. Enhances the patient experience throughout all patient interactions by serving as the customer service point of contact at the point of service by demonstrating knowledge of Sutter's Health system and service offerings. Responsible for supporting the success of a high-performing shared services organization by helping to champion and drive the long-term MFSS vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized. Participates in programs and in using tools in support of building a high performance culture via the standard MFSS responsibilities (e.g. performance measurement, people development, customer relationship management, etc.).
<br><br>
<b>Job Description:</b><br>
EDUCATION
<br>Equivalent experience will be accepted in lieu of the required degree or diploma.
<br><br>
<ul>
<li>HS Diploma or equivalent education/experience</li>
<li>Associates degree or equivalent</li>
</ul>
<b>PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:</b><br>
Experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing financial counseling, financial clearance and/or customer service activities as typically acquired in two years Completion of regulatory/mandatory certifications and skills validation competencies preferred
<br><br>
SKILLS AND KNOWLEDGE
<br><br>
<ul>
<li>General knowledge of patient access financial counseling functions in acute and non-acute settings preferred</li>
<li>Working knowledge of medical terminology desired</li>
<li>Working knowledge and understanding of insurance terminology desired EMTALA and Consent Laws knowledge</li>
<li>Excellent time management skills and the ability to manage frequent in-person patient contacts while effective maintaining and documenting data in the patient registration systems</li>
<li>Demonstrated ability to work in multiple computer systems, such as patient registration/accounting systems, telephone consoles, document imaging, scanning, payment posting, proprietary payer websites and data quality monitoring, both accurately and efficiently</li>
<li>Strong data entry skills required</li>
<li>Excellent verbal and written communication and active listening skills</li>
<li>Interpersonal skills necessary in dealing with internal and external customers</li>
<li>Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Sutter Health</li>
<li>Accuracy and attentiveness to detail required</li>
<li>Strong decision making and problem solving skills</li>
<li>Must be able to set and organize own work priorities, and adapt to change</li>
<li>Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles</li>
<li>Ability to meet or exceed targeted customer service, productivity and quality standards</li>
<li>Fluency in both English and a minimum of one other language is preferred for this role to allow Sutter Health to better serve the community and patient population Computer proficiency skills required Requires the ability to work with and maintain confidential information</li>
</ul>
<b>Job Shift:</b><br>
Varied
<br><br>
<b>Schedule:</b><br>
Per Diem/Casual
<br><br>
<b>Shift Hours:</b><br>
8
<br><br>
<b>Days of the Week:</b><br>
Variable
<br><br>
<b>Weekend Requirements:</b><br>
As Needed, Once a Month
<br><br>
<b>Benefits:</b><br>
No
<br><br>
<b>Unions:</b><br>
Yes
<br><br>
<b>Position Status:</b><br>
Non-Exempt
<br><br>
<b>Weekly Hours:</b><br>
0
<br><br>
<b>Employee Status:</b><br>
Per Diem/Casual
<br>Sutter Health is an equal opportunity employerEOE/M/F/Disability/Veterans.
<br><br>
Pay Range is $29.26 to $36.33 / hour
<br>The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

PT Access Rep / PBX Operator

Texas Oncology

<div>Overview:<div></div><div><b><br>
The US Oncology Network</b> is looking for a <b>Patient Benefits Representative</b> to join our team at <b>Texas Oncology</b>. This full-time position will support the <b>Revenue Cycle Department</b> at our 3010 Harrison Avenue clinic in Beaumont, Texas with some travel. Typical work week is Monday through Friday, 8:30a - 5:00p.</div><div></div><p><br>
This position will be a level 1or Sr depending on relevant candidate experience.</p><p></p><div><br>
As a part of <b>The</b> <b>US Oncology Network</b>, <b>Texas Oncology</b> delivers high-quality, evidence-based care to patients close to home. <b>Texas Oncology </b>is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today&mdash;at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve &ldquo;More breakthroughs. More victories.&rdquo; &reg; in their fight against cancer. Today, <b>Texas Oncology</b> treats half of all Texans diagnosed with cancer on an annual basis.</div><div></div><div><b><br>
The</b> <b>US Oncology Network</b> is one of the nation&rsquo;s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. <b>The</b> <b>US Oncology Network</b> is supported by <b>McKesson </b>Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.</div><div></div><p><b><br>
What does the Patient Benefits Representative do? (including, but not limited to):</b></p><p>
The Patient Benefits Representative, under general supervision is responsible for educating patient on insurance coverage and benefits. Assess patients financial ability; may educate patient on assistance programs. Updates and maintains existing patient new insurance eligibility, coverage, and benefits in system. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology&rsquo;s Shared Values.</p>
Responsibilities:
<p><b>
The essential duties and responsibilities (including, but not limited to):</b></p><ul><li>
Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
</li><li>Assess patients ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms. Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form.
</li><li>Completes appropriate reimbursement and liability forms for patient&rsquo;s review and signature. Forwards appropriate information and forms to billing office.</li><li>
Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.</li><li>
Review patient account balance and notify front desk of patients to meet with</li><li>
Ensure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately</li><li>
At each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs).
</li><li>Stays current on available financial aide. Develops professional relationships with financial aide providers. Networks with financial aide providers to obtain leads to other aide programs.</li><li>
Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient*s records.
</li><li>Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested.
</li><li>Other duties as requested or assigned.</li></ul>
Qualifications:
<p><b>
The ideal candidate for the Patient Benefits Representative will have the following background and experience:
 </b></p><p><b>Level 1</b></p><ul><li>
High school diploma or equivalent required.
</li><li>Minimum three (3) years patient pre-services coordinator or equivalent required.
</li><li>Proficiency with computer systems and Microsoft Office (Word and Excel) required.
</li><li>Demonstrate knowledge of CPT coding and HCPS coding application.</li><li>
Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.</li><li>
Must successfully complete required e-learning courses within 90 days of occupying position.</li></ul><p><b>
Level Sr (in addition to level 1 requirements)</b></p><ul><li>
Associates degree in Finance, Business or four years revenue cycle experience preferred.
</li><li>Minimum three (3) years pre-services coordinator experience and two (2) years of patient benefits experience required.
</li><li>Must be able to demonstrate knowledge and appropriate application of insurance coverage benefits and terminology.</li></ul><p></p><p><b><br>
Competencies:</b></p><ul><li>
Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; is regarded a san expert in the technical/functional area; accesses and uses other expert resources when appropriate.</li><li>
Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience inn the face of constraints, frustrations, or adversity; demonstrates flexibility.</li><li>
Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty.</li><li>
Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.</li><li>
Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluated products, processes, and service against those standards; manages quality; improves efficiencies.</li></ul><p><b>
Physical Demands:</b></p><p>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.</p><p><b><br>
</b></p><p><b>Work Environment:</b></p><div>
The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.</div></div>

Patient Benefits Representative Sr

The Southwell Co.

<div><div>DEPARTMENT: SOUTHWELL ENT
</div><div>F ACILITY: Tift Regional Medical Center
</div><div>WORK TYPE: Full Time
</div><div>S HIFT: Daytime<br>
</div><div></div><div><b>SUMMARY:
</b></div><div>The Office Specialist/Patient Financial Consultant is responsible for coordinating all communications within the clinic and handling administrative and financial processes to support daily operations. This includes transcribing physician orders, registering patients, staying up to date on insurance requirements, and collecting payments for surgeries and procedures. The Office Specialist/Patient Financial Consultant works closely with Patient Access at the hospital to ensure compliance with current registration guidelines and provides excellent customer service to patients, families, visitors, physicians, coworkers, and other medical and non-medical personnel. This position reports directly to the Practice Manager.<br>
</div><div></div><div><b>RESPONSIBILITIES:
</b></div><div>* Correctly Transcribes physician&rsquo;s orders into mainframe using appropriate forms.
<br>
<ul><li>Coordinates scheduling, needed follow-ups, and referrals for patients.
</li><li>Demonstrates the ability to handle confidential information with discretion for the patient, family, and/or co-worker.
</li><li>Assist in answering incoming phone calls by providing information or assistance to patients, referring physician offices, and other callers; transfers calls to the appropriate personnel or takes accurate messages as needed.
</li><li>Performs general clerical duties such as filing, mailing, faxing and copying.
</li><li>Assist in ordering office and medical supplies as requested.
</li><li>Maintains current knowledge of hospital and department policies and procedures.
</li><li>Receives payments from patients and issues receipts accurately.
</li><li>Keeps abreast of pertinent federal, and state regulations and laws and Tift Regional Health System, Inc. (&ldquo;TRHS&rdquo;) policies as they presently exist and as they change or are modified.
</li><li>Understands and adheres to: TRHS&rsquo; compliance standards as they appear in TRHS&rsquo;s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy; and HIPAA and TRHS policies regarding privacy and security of protected health information.
</li><li>Demonstrates the ability to perform tasks that meet the age-specific requirements of the persons, patients, vendors, and staff that the employee is charged to interact with as required by the position.
</li><li>Offers suggestions on ways to improve operations of department and reduce costs.
</li><li>Attends all mandatory education programs.
</li><li>Improves self-knowledge through voluntarily attending continuing education/certification classes.
</li><li>Maintains required competency levels as identified in written exams, skills checklists, skills labs, annual safety and health requirements as well as service excellence education hours requirements.
</li><li>Cross-trains in order to better assist co-workers and to provide maximum efficiency in the department.
</li><li>Volunteers/participates on hospital committees, functions, and department projects.
</li><li>Manages resources effectively.
</li><li>Reports equipment in need of repair in order to extend life of equipment and removes malfunctioning equipment out of service with timely reporting to the appropriate personnel.
</li><li>Makes good use of time so as to not create needless overtime.
</li><li>Collects and records payments for surgeries and procedures in accordance with established protocols.
</li><li>Verifies patient insurance eligibility and benefits prior to scheduled appointments or procedures.
</li><li>Ensures all required authorizations and referrals are obtained and documented in the patient record.
</li><li>Assists in resolving patient billing questions or concerns, providing clear explanations of charges and payment options.
</li><li>Coordinates with Patient Access and Revenue Cycle teams to address registration or billing discrepancies.
</li><li>Supports front office workflow efficiency by identifying process improvements or gaps in communication.
</li><li>Participates in departmental meetings and contribute to efforts to improve patient satisfaction.<br>
</li></ul></div><div></div><div><b>EDUCATION:
</b></div><div>* High School Diploma or Equivalent<br>
<br>
</div><div></div><div><b>OTHER INFORMATION:
</b></div><div>One year of hospital or physician experience, preferred. Certified Nursing Assistant or Medical Assistant diploma, preferred.</div><br>
 <div></div><br>
<div><b>Southwell/Tift Regional Health System, Inc. is an Equal Opportunity Employer.</b></div></div><div></div>

Office Specialist/Patient Financial Consultant

Urology Centers of Alabama

<div><p><b>General Summary</b></p><p>
The Patient Account Representative will utilize the EMR and insurance systems to verify coverages and provide accurate information to allow for collection of all accounts. Maintain claims processing, including accurate and timely claim creation, follow-up and correspondence with insurance inquiries/correspondence. Assure payments are recorded and reconciled timely in order to maximize revenues. Counsels patients on financial matters to assure prompt payments are received for services.</p><div><p>
</p></div><p><b>Minimum Qualifications</b></p><ul><li>
Must demonstrate a working knowledge of CPT and ICD-10 coding systems. Knowledge of individual codes not required.
</li><li>Must demonstrate experience with verifying insurance eligibility, including with Alabama Medicaid&rsquo;s State Eligibility System.</li><li>
Must demonstrate sound knowledge of medical collection practices.
</li><li>Must show the ability to learn and understand an electronic medical record.</li><li>
Must show the ability to have excellent interpersonal skills and communication to interact with all walks of life, internal and external to UCA, from all educational or cultural backgrounds.
</li><li>Must show the ability to work independently or within a team in a fast-paced environment.</li><li>
Must show proficiency in use of a variety of office equipment including a PC, Windows, MSOffice, EMR system, multi-line telephone, copier, facsimile machine, etc.</li><li>
Must show the ability to maintain confidentiality, including strict adherence to HIPAA and UCA Guidelines.</li><li>
Must have a high school diploma or GED equivalent.</li></ul><div><p>
</p></div><p><b>Preferred Qualifications</b></p><ul><li>
May have an associate degree or higher in medical billing and coding.</li><li>
May have three (3) to five (5) years&rsquo; experience in healthcare billing claims.</li><li>
Show experience with Greenway or Allscripts EMR system.</li></ul><div><p>
</p></div><p><b>Licensure, Certification, Registration Requirements</b></p><p>
None.</p><div><p>
</p></div><p><b>Supervisory Requirements</b></p><p>
This position will not supervise any other staff members.</p><div><p>
</p></div><p><b>Physical Demands</b></p><p>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p><p>
</p><p>While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee must occasionally lift and/or move more than 25 pounds.
</p><p></p><p><b>Essential Functions</b></p><ul><li>
Prepares and submits clean claims to third party payers either electronically or by paper.</li><li>
Maintains relationship with clearinghouse, including appropriate follow-up with support issues.</li><li>
Coordinate the process of patient eligibility through various third-party sources.</li><li>
Coordinate collection process, to include any projects from Greenway accounts and tracking in soon to be collections in Allscripts.</li><li>
Maintain monthly statement process.</li><li>
Escalate patient issues to Director of Revenue Cycle.</li><li>
Work with reception staff, ensure appropriate collection of co-pays, deductible and self-pay fees.</li><li>
Handles patient inquiries and answers questions from clerical staff and insurance companies.</li><li>
Identifies and resolves patient billing problems.</li><li>
Denial and insurance follow-up management.</li><li>
Issues adjusted, corrected, and/or rebilled claims to third party payers.</li><li>
Posts adjustments transfer of responsibility and refunds, as necessary.</li><li>
Assure coding is compliant and up to date.</li><li>
Reviews accounts and makes recommendations to the Director regarding non collectible accounts.</li><li>
Other relevant duties as assigned.</li></ul></div>

Biller - FT

Spero Health

<div>Description:
<p><b>
Spero Health is seeking a Counselor/Social Worker to join our awesome team in Barbourville!</b></p><p>
This position is for a licensed counselor or social worker who supports the mission of &ldquo;Saving Lives, Instilling Hope and Restoring Relationships&rdquo; in an integrated team with patients receiving counseling, case management and medically assisted treatment. Spero Health believes better outcomes are achieved when you treat the whole person, through integrated care. If you are looking for a career where you can make a difference in someone's life, Spero Health is the right place for you!</p><p><b>
The Counselor/Social Worker's responsibilities include, but are not limited to the following:</b></p><ul><li>
 Conduct initial assessment and ongoing patient care.</li><li>
 Provide counseling to patients through evidenced-based practice.</li><li>
 Provide patient education.</li><li>
 Ensure accountability of treatment program and patient compliance through collaboration.</li><li>
 Assist patients in creating realistic goals toward achieving freedom from addiction.</li><li>
 Act as a clinic resource and assure compliance with HIPPA and CFR42 Part 2 regulations.</li></ul>
Requirements:
<p><b>
LICENSED COUNSELOR/SOCIAL WORKER EDUCATION:</b></p><ul><li><b>
Education: </b>Minimum, Master's Degree in a human services field (psychology, sociology, social work, family studies, human services, counseling, nursing, or another human service degree program related to working with individuals with substance use disorders.</li><li><b>
Experience: </b>Minimum of 1 year of full-time employment/internship working in a human-services setting OR Master's Degree in behavioral science, as defined above.</li><li><b>
License:</b> CSW, LCSW, LPCC, LPCA, LMFT, LCADC-A, LCADC</li></ul><p><b>
LICENSED COUNSELOR/SOCIAL WORKER BENEFITS:</b></p><ul><li>
Medical, Dental, and Health Savings Account</li><li>
Vision, Life and Disability insurance (100% Company Paid)</li><li>
Generous PTO and paid holidays</li><li>
401(k) retirement program with company match</li><li>
Wellness Programs (Fitness Reimbursement &amp; Smoking Cessation)</li><li>
Employee Assistance Program (EAP)</li><li>
Discounts via Tickets at Work</li></ul><p><b>
LICENSED COUNSELOR/SOCIAL WORKER LOAN FORGIVENESS PROGRAMS:</b></p><ul><li>
Spero Health is a STAR (Substance Use Disorder Treatment and Recovery) approved organization. This means our clinicians will have access to help pay off federal student loans so they can focus on what they do best: patient care!
</li><li>Please see the website at https://bhw.hrsa.gov/funding/apply-loan-repayment/star-lrp</li></ul><p><b>
LICENSED COUNSELOR/SOCIAL WORKER CAREER DEVELOPMENT AND GROWTH</b></p><ul><li>
CEU reimbursement up to $400 annually (calendar year)</li><li>
Opportunities for growth - we encourage our teammates to consider new growth opportunities with us</li></ul><p><b>
Check out our website below for more information</b></p><p>
https://sperohealth.com/</p></div>

Counselor (Social Worker)

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