patient financial specialist

Lexington Clinic

<div>SUMMARY:
 The Patient Financial Specialist/Customer Service Rep position has an opportunity to work remotely from home within the Central Kentucky Area after completion of 6 months in office training, positive quality measurement and achievement/maintenance of position benchmarks. The Patient Financial Specialist/Customer Service Rep supports Lexington Clinic financial policies and protocols through professional interactions and advocacy with customers via inbound and outbound calls; responds to and/or resolves customer queries and concerns; follows-up and completes account actions, rebilling, appeals, updates and corrections as appropriate; Documents all account actions or communications appropriately; Completes reports as assigned as well as other duties as assigned.
NOTE: To allow coverage of all PFS and CSU duties, the Patient Financial Specialist/Customer Service Rep&rsquo;s time will typically be split such that an average of no more than 65%, of the employees total time is spent on PFS or CSU.
 PREFERRED QUALIFICATIONS:
 Formal training which will probably be indicated by a high school diploma or equivalent; prefer two years experience working in healthcare collections and billing or in another healthcare related field; good verbal and written communication skills.
 PHYSICAL GUIDELINES:
 Physical guidelines include the ability to move, traverse, position self, remain in a stationary position and negotiate steps for up to eight hours per day; visual acuity; manual dexterity and motor coordination.
 NOTE:
 This document is intended to describe the general nature and level of work performed. It is not intended to act as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. Attendance is an essential function of the job. 
 LEXINGTON CLINIC IS AN EQUAL OPPORTUNITY EMPLOYER (EOE)</div>

Patient Financial Specialist/CSR (4189) PATIENT ACCOUNTS CORP OF

Hillsboro Area Hospital

<div>Description:

The Patient Financial Services Specialist is a key member of the Patient Accounting team, responsible for supporting the financial experience of patients through compassionate service, accurate billing processes, and informed financial counseling. This role combines direct patient interaction with behind-the-scenes account management, including resolving account issues and assisting patients with understanding and managing their financial responsibilities. The Specialist ensures billing accuracy and compliance while helping patients access necessary care without unnecessary financial hardship.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Patient Communication &amp; Financial Counseling<ul><li>
Provide exceptional customer service via phone, email, and in-person interactions regarding billing inquiries, account balances, and payment options.</li><li>
Educate patients about insurance coverage, out-of-pocket responsibilities, and available financial assistance programs.</li><li>
Evaluate patients&rsquo; financial situation to determine eligibility for payment plans or financial assistance in accordance with organizational policies.</li><li>
Meet with patients to review bills, assist with financial assistance applications, and establish payment plans in accordance with policy.</li><li>
Conduct follow-up communications to collect documentation and complete financial aid processes.</li><li>
Respond promptly to inquiries or correspondence from patients.</li></ul>
Account Review &amp; Maintenance<ul><li>
Analyze patient accounts for billing accuracy and ensure proper application of insurance payments and patient responsibility.</li><li>
Document all account activity, communications, and financial arrangements accurately in the billing system.</li><li>
Review credit balances and reconcile multiple accounts when applicable.</li><li>
Collaborate with billing and insurance teams to support seamless patient financial experiences.</li></ul>
Compliance &amp; Professional Conduct<ul><li>
Uphold patient confidentiality and comply with HIPAA and all applicable federal, state, and organizational regulations.</li><li>
Maintain knowledge of hospital and departmental policies and procedures, including corporate compliance.</li><li>
Promote a work environment consistent with the mission, vision, and values of the organization.</li><li>
Report compliance concerns appropriately and participate in training sessions as required.</li></ul>
ADDITIONAL DUTIES<ul><li>
Strong understanding of health insurance plans, billing processes, financial assistance programs, and regulatory guidelines.</li><li>
Excellent communication skills with the ability to explain complex financial information in a clear, respectful, and empathetic manner.</li><li>
Highly organized and detail-oriented; able to prioritize tasks and work independently with minimal supervision.</li><li>
Bilingual skills are a plus.</li><li>
Ability to work under pressure, meet deadlines, and adapt to changing priorities.</li></ul>
(The above statements describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned, as required, by Hillsboro Health.)
SUPERVISORY RESPONSIBILITIES
None
Requirements:

EDUCATION AND/OR EXPERIENCE<ul><li>
High school diploma or equivalent required; associate or bachelor&rsquo;s degree in healthcare administration, finance, or related field preferred.</li><li>
Minimum of 2 years' experience in medical billing, hospital insurance procedures, financial counseling, or patient accounts in a healthcare setting.</li><li>
Proficiency with billing systems, EHR platforms, and Microsoft Office applications.</li></ul>
CERTIFICATES, LICENSES, REGISTRATIONS
None
PHYSICAL DEMANDS &amp; WORK ENVIRONMENT<ul><li>
Regular contact with patients, guarantors, insurance representatives, and internal departments.</li><li>
Primarily sedentary work in a standard office or remote setting.</li><li>
Frequent use of computer, phone, and office equipment.</li><li>
Occasional lifting of up to 25 pounds.</li><li>
Visual acuity for reviewing billing documentation and computer screens.</li></ul>
CORPORATE COMPLIANCE
Receives training and/or attends necessary meetings to meet the criteria as outlined in Hillsboro Health&rsquo;s Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and/or abuse. 
BENEFITS
Please use the link below to visit our website for a list of benefits offered.
https://www.hillsborohealth.org/careers</div>

Patient Financial Services Specialist

Community Health of South Florida

POSITION PURPOSE: 
 
The purpose of the Patient Financial Services Specialist is to ensure that the Billing and Encounter Forms are processed correctly. Coordination of work from the patient care areas, maintaining the work flow of documents to and from Data Processing. 
 
POSITION REQUIREMENTS / QUALIFICATIONS: 
 
Education/Experience:
 
A minimum of High School Diploma or GED Equivalent. ICD 9 Coding experience preferred. Experience with Patient Services. Must have knowledge of Medicaid / Medicare Insurance, collection and setup. 
 
Licensure / Certification:
 
Maintain current CPR certification from the American Heart Association. 
 
Skills / Ability:
 
Ability to work as a team member. Must have clerical skills, ability to type 20 - 30 wpm and have interviewing skills. Must have knowledge of math, operation of calculator; telephone etiquette, human relation skills and organizational skills. Must be computer literate. Ability to demonstrate effective oral and written communication skills. 
 
POSITION RESPONSIBILITIES (THIS IS A NON-EXEMPT POSITION) 
 
Register new client on Intergy as per guidelines issued by Community Health of So. Florida. 
 
Researches files for previous enrollment in CHI computer system before creating a new medical record number. 
 
Re-new or update existing clients profiles as per guidelines issued by Community Health of South Florida. 
 
Performs financial screening on active clients who have requested services from Community Health of South Florida, Inc. 
 
Attempt collection o Completes assigned task in a timely manner.f past due debts as clients request services from CHI. 
 
Check-in clients for needed medical services. 
 
Check-out clients upon receiving medical services. 
 
Process of patient payments. 
 
Review and balance out daily batches. 
 
Submit daily journal to assigned supervisor. 
 
Submit cash and copies of daily batches to the Accounting Department for deposit. 
 
Complete statistical data and submit daily. 
 
Reviews Quality Care Guidelines/Patient Reminder print-out to identify overdue items e.g. Advance Directives, Learning Needs Assessment, Depression Screening, etc. 
 
Identifies patients who have not executed an Advance Directive and provide them with the Advance Directive form to read. 
 
Identifies patients who need a Learning Needs Assessment and gives them the form to complete. 
 
Identifies patients due for Depression Screening and provide them with a PHQ-9 form in the appropriate language to complete. 
 
Gives all new patients a New Patient History form to complete before Nursing Staff calls the patient. 
 
Attaches a completed new patient lab request form to the encounter form of every new patient. 
 
Consistently informs patients that their Provider wants them to read or complete the appropriate forms or education material while waiting to see the Provider. 
 
Verifies Medicare, Medicaid and all other insurance carriers. 
 
Performs daily balance closing and ensures that all procedures and payments are posted accurately. 
 
Performs cashier duties, collect patient funds for services and enters data into computer for payment received. 
 
Train new employees on all functions of Patient Services (i.e. registration, cashiering, posting of B&amp;E&rsquo;s and Payments). 
 
Use appropriate and correct telephone etiquette at all times. 
 
Participates in Continuing Educational In-services and Performance Improvement Activities. 
 
Reports to work on time and ready to work with minimal absenteeism. 
 
Completes &amp; Post all B&amp;E (billing and encounter) forms within the same of service. 
 
Adheres to the Confidentiality Policies and Procedures / HIPAA Regulations. 
 
Performs other duties as assigned, including variable shifts if needed.

PATIENT FINANCIAL SERVICES SPECIALIST

Cibola General Hospital

<div>Description:

 Job Summary
Cibola General Hospital is seeking a Patient Financial Counselor / Presumptive Eligibility Determiner to assist uninsured and underinsured patients in accessing healthcare coverage and financial assistance programs.
This position conducts Medicaid Presumptive Eligibility screenings, assists patients with Medicaid applications, and provides financial counseling regarding payment options and financial assistance programs. The role works closely with patients, clinical staff, and revenue cycle teams to ensure patients receive timely access to medically necessary services.
Responsibilities<ul><li>
Assist patients in completing Medicaid applications through the YES-NM portal</li><li>
Provide financial counseling and discuss payment options with patients</li><li>
Identify patients who may qualify for Medicaid or hospital financial assistance programs</li><li>
Document patient encounters and eligibility determinations in the electronic health record (EHR)</li><li>
Work with clinical staff and internal departments regarding eligibility determinations and follow-up</li><li>
Ensure compliance with HIPAA, Medicaid guidelines, and hospital policies</li><li>
Provide excellent customer service to patients and families</li></ul>
Requirements:

 QualificationsRequired<ul><li>
High School Diploma or equivalent</li><li>
Strong communication and customer service skills</li><li>
Basic computer skills and ability to learn healthcare systems</li><li>
Ability to maintain confidentiality and handle sensitive patient information</li></ul>
Preferred<ul><li>
Experience in healthcare billing, registration, or revenue cycle</li><li>
Experience with Medicaid eligibility or financial assistance programs</li><li>
Previous hospital or healthcare experience</li></ul>
Certification
Presumptive Eligibility Determiner certification required or must be obtained within the timeframe required by the New Mexico Human Services Department. 
Work Environment<ul><li>
Office setting within a hospital environment</li><li>
Frequent interaction with patients, families, and healthcare staff</li></ul></div>

Patient Financial Counselor

Providence

<div>Description
Patient Financial Counselors are part of a team who has direct interaction with patients and their families either on the phone or in person. They are responsible for easing the way in resolution of patient accounts through financial clearance, payment collection, obtaining sponsorship, and financial assistance. The Patient Financial Counselor identifies eligibility, provides education, and completes and submits applications for various State and Federal sponsorship programs. They assist patients and make eligibility determinations for Providence St. Joseph Health Financial Assistance. Duties and behaviors are performed in a manner that reflects Providence's mission, philosophy, and core values.
Providence caregivers are not simply valued &ndash; they&rsquo;re invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
<ul><li>H.S. Diploma or GED</li>
<li>2 years experience in a hospital, clinic, or healthcare business office</li>
<li>3 years experience or proven success as a Patient Financial Advocate Associate, preferably with Providence St. Joseph Health or it's Affiliates.</li>
<li>2 years experience in automated, computerized account follow-up system, preferably in Epic.</li>
</ul>Preferred Qualifications:
<ul><li>Experience with medical and health plan terminology.</li>
</ul>About Providence
At Providence, our strength lies in Our Promise of &ldquo;Know me, care for me, ease my way.&rdquo; Working at our family of organizations means that regardless of your role, we&rsquo;ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 422848
Company: Providence Jobs
Job Category: Patient Financial Services
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Admin Support
Department: 4001 SS RC FIN COUNS
Address: OR Portland 4805 NE Glisan St
Work Location: Providence Portland Medical Ctr-Portland
Workplace Type: On-site
Pay Range: $22.44 - $34.33
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.</div>

Presbyterian Healthcare Services

<div>Location Address:
9521 San Mateo NE Albuquerque, NM 87113-2237

Compensation Pay Range:
Minimum Offer $15.60 Maximum Offer $22.12 Now Hiring: Patient Access Account Specialist I-ABQ
Summary:
Under the direction of the Patient Access Supervisor, the Patient Access Account Specialist I provides basic functions to financial clear patient accounts for government and commercial accounts prior to the date of service. Performs basic financial clearance functions, including insurance verification, authorization, collection and documentation of patient demographics, benefit analysis, and pre-service collections. The Patient Access Account Specialist I will ensure follow up on authorizations for scheduled and Urgent/Emergent procedures and admissions until date of service or discharge for admissions. The Patient Access Account Specialist I must possess a basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access to include HIPAA, EMTALA, and CMS guidelines of MSPQ. The Patient Access Account Specialist (PAAS I) monitors work queues for financial clearance and missing authorizations ensuring a payment source is identified and secured and there is a clean claim for billing. The Patient Access Account Specialist I acts as resource to all employees within Patient Access. The Patient Access Account Specialist I is responsible for providing the highest level of customer service to patients, ancillary departments and payers when financially clearing accounts. The PAAS I will work with ancillary departments to ensure the procedures scheduled and authorized meet payer requirements. The Patient Access Account Specialist I provides coverage to other areas and hospitals as needed to minimize overtime and guarantee the patients receive services as needed without registration delays. Type of Opportunity: Full time Job Exempt: No Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Days (United States of America)

Responsibilities:
Customer Service and Caring Practices: *Achieve exceptional patient experience for patients and patient families by using CARES, AIDET and EPE tools. *Addresses and attempts to appropriately resolve complaints in the moment by using key words at key times and de-escalation processes. *Ability to manage conflict and appropriately request the help of a supervisor when needed. *Implement PROMISE and CARES behaviors in every encounter. *Educates patients for whom they speak regarding insurance benefits and liabilities. *Ensures accounts are financially cleared prior to date of service to alleviate patient concerns over hospital financial matters Encounter Components: *Performs the patient registration process. Manage the accurate collection of patient data which includes but is not limited to; *Obtain/confirm and enter demographic and other financial and clinical information necessary for final clearance of scheduled accounts. *Review Urgent/Emergent admission accounts for notification, financial clearance and authorization pre-discharge. *Obtain missing insurance information, to include policy number, group number, date of birth, and insurance phone number if not already identified in account. *Verify insurance for eligibility and benefits using online electronic verification system or by contacting payer directly. *Review and process work queues related to Patient Access pre-visit or urgent/emergent admissions, per department guidelines. *Review of accounts falling within the work queues to ensure the insurance information contains accurate policy ID#s, Group Name and Numbers, Subscriber information, Authorization numbers, as well as correct payer and Coordination of benefits prior to date of service. *Accurately document actions taken in the system of record to drive effective follow-up and ensure an accurate audit trail. *Maintain ongoing knowledge of authorization requirements and payer guidelines. Maintain a proficient knowledge of Medicare (CMS) guidelines as it relates to admissions and outpatient services. Ensuring compliance with admissions forms, benefit entitlement verification, and billing requirements *Ensure accurate completion of MSPQ prior to date of service. *Daily focus on attaining productivity standards; recommend new approaches for enhancing performance and productivity when appropriate. *Monitor and track Data Quality program to ensure errors are corrected prior to final bill and correct accounts as necessary. *Maintain appropriate records, files, and timely and accurate documentation in the system of record. *Work with ancillary departments to ensure coding, diagnosis and facility are authorization are in alignment. *Work with payers to ensure authorization is in place; initiating the auth when appropriate. *Coordinate efforts with Financial Advocates to secure payer source current and future visits. *Monitor work queues to identify late add-on accounts and complete financial clearance procedures prior to services to avoid unauthorized procedures from being performed. *Work with physician offices to resolve discrepancies in authorizations and scheduled procedures. Financial Accountabilities: *Collects identified patient financial obligation amounts including residual balance if applicable. Collect liability from patient prior to visit or make arrangements for payment at time of service. *Ensure a payer source has been identified prior to services being rendered. *Ensure authorization for correct procedure (CPT), facility, and date of service is obtained. Patient Relations *Contact patients pre-visit to complete any information missing from the account to ensure accuracy prior to visit. *Transparency with patients through communication of patient liabilities and authorization issue in a timely manner, allowing patients ability to make informed decisions. *Educate patients and answer questions from patients on benefits, liabilities and financial options. *Provide patient with way-finding for appointment at time of pre-registration. *Perform AIDET when speaking to patient to alleviate anxiety and confusion. Quality Improvement: *Perform assigned patient care responsibilities, which may include but not limited to: *Cooperate fully in all risk management activities and investigations. *Report promptly any suspected or potential violations to laws, regulations, procedures, policies, and practices, and cooperate in related investigation. *Conduct all transactions in compliance with all company policies, procedures, standards, and practices. *Demonstrate knowledge of all applicable compliance and legal requirements of the job based on the scope of practice of the position. C.A.R.E.S Behaviors: *Demonstrates CARES behaviors of Collaborate, be Accountable, Respect, Engage and Serve to all whom you encounter. *Other duties as assigned
Qualifications:
*High school diploma, continued education preferred *External and Internal Non-Patient Access Candidates: Pass Patient Academy with passing score of 85% or higher *Previous completion and passing of Patient Access Advocate II and III Advancement test. *A minimum of 2 years of work experiences in healthcare setting within Patient Access and/or billing plus strong customer service background. *Strong knowledge and understanding of insurance and financial processing of accounts. *Proficient in EPIC ADT system *Specialty Certifications: CHAA, CHAM or other industry equivalent certification preferred *Pass annual competency exam for all areas of responsibility. *Requires general knowledge of the customer encounter process which may include registration, contract requirements, and coordination of benefits. *Knowledge in Microsoft Office Products. *Demonstrated strong keyboarding skills, ensuring efficient data entry and documentation. *Pass EPIC proficiency test required with a 85% score at completion of the Epic Training class. UPDATED 7/29/25
All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. 
Wellness 
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more. 
Why work at Presbyterian? 
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. 
About Presbyterian Healthcare Services 
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.<h1 class="jobSectionHeader">
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services</h1></div>

Patient Access Account Specialist I-ABQ

Beacon Health System

<div><div><div><div><div><div>Beacon Health System is hiring a full-time day Patient Access Insurance Specialist, in our Verification of Benefits Department at Beacon Health System in South Bend, IN. 
 
Be a Beacon. Make a Difference.
At Beacon Health System, you&rsquo;re not just part of a team, you&rsquo;re part of something bigger. Every patient interaction is a chance to lead with compassion, build trust, and create lasting impact. Here, your expertise supports healing, and your heart connects us to the communities we serve.
<ul><li>Medical, Dental, &amp; Vision Insurance through Cigna</li>
</ul><ul><li>Life Insurance</li>
</ul><ul><li>403(b) Matching Retirement Fund</li>
</ul><ul><li>Competitive Paid Time Off (PTO)</li>
</ul><ul><li>Shift Differentials</li>
</ul><ul><li>Employee Assistance Program (EAP)</li>
</ul><ul><li>Tuition and Certification Reimbursement</li>
</ul><ul><li>Clinical Ladder Program</li>
</ul><ul><li>Local and National Discounts</li>
</ul><ul><li>Beacon Academy Educational Courses</li>
</ul><ul><li>Gym Membership Discount</li>
</ul>
About Beacon Health System
Headquartered in South Bend, Indiana, as a not-for-profit, community-governed health system, Beacon Health System provides care to more than 4,000 patients each day in northern Indiana and southern Michigan.
What You&rsquo;ll Do
As a Patient Access Insurance Specialist, you will report to the Patient Access Director or the Insurance Specialist Supervisor. Follows established Beacon policies and procedures to verify insurance coverage to ensure necessary procedures and hospitalizations are covered by an individual's provider. The Insurance Verification Authorization Specialist will assure authorization is obtained for all procedures and diagnostic testing to services being rendered. The Authorization Specialist will also initiate the authorization for direct admissions, emergency admissions, and emergency procedures. They will work closely with medical staff, clinical staff, referring clinics, Beacon Outpatient Scheduling Surgery Scheduling, Social Services, and Utilization Review departments. They will be responsible for communication with insurance carriers and/or providers for purposes of obtaining approval for services requiring authorization, pre-certification, and prior approval for admissions to Beacon or Epworth Center by using web-based tools, other electronic means where possible, or by telephoning and faxing when necessary. Coordinating those visits with the correct paperwork and insurance verification, along with accurate documentation in the patient's medical record is essential. They will answer high volume of incoming phone calls as well as making high volume of outbound phone calls, with constant communication to the Utilization Review, Social Services, Beacon Outpatient Scheduling and Surgery Scheduling departments. Performs other clerical duties as necessary.
Patient Access Insurance Specialist Job Responsibilities:
<ul><li>Verify and update patient demographic and financial information to ensure accuracy in the registration system.</li>
<li>Obtain and validate insurance coverage using online eligibility systems, payer portals, and telephone verification.</li>
<li>Utilize Cerner systems and reports (e.g., PHS, SurgiNet, Medical Necessity Checker) to review scheduled patients, procedures, and medical necessity requirements.</li>
<li>Audit and complete required documentation, including MSP questionnaires and insurance verification records.</li>
<li>Coordinate verification of benefits (VOB) by confirming co-pays, deductibles, coinsurance, out-of-pocket limits, and rehabilitation benefits with insurance providers.</li>
<li>Secure and document pre-authorizations and pre-certifications for ancillary, surgical, outpatient, and inpatient procedures.</li>
<li>Collaborate with physician offices, scheduling teams, and referring facilities to ensure required authorizations are obtained and procedures are properly scheduled.</li>
<li>Validate CPT and ICD-10 codes and confirm compliance with Medicare Inpatient Only Procedure (MIPO) requirements when applicable.</li>
<li>Identify out-of-network insurance plans and follow established policies and procedures.</li>
<li>Refer patients to Financial Counselors or Eligibility Specialists when financial clearance or payment arrangements are required.</li>
<li>Maintain accurate worklists, documentation, and records to support timely claim submission and reimbursement.</li>
<li>Calculate and communicate estimated patient financial responsibility, including co-payments and coinsurance.</li>
<li>Prepare reports, patient statistics, and documentation to support departmental operations and leadership requests.</li>
<li>Provide professional customer service by answering calls, communicating with patients and internal departments, and maintaining positive patient relations.</li>
<li>Collaborate with departments such as Utilization Review, Surgery Scheduling, Social Services, and Outpatient Scheduling to ensure accurate and timely patient processing.</li>
<li>Support departmental quality goals by maintaining productivity, accuracy, and compliance with Beacon policies and procedures.</li>
<li>Maintain professionalism while representing Beacon Health System and perform other duties as assigned.</li>
</ul>
What You Bring
As a Patient Access Insurance Specialist, it requires strong office and computer skills, including keyboarding (minimum 40 wpm), data entry, and proficiency with systems such as Cerner, Pathways Healthcare Scheduling, Experian, and MCA Compliance Checker. Demonstrates knowledge of medical terminology, insurance coverage, managed care networks, ICD-10 and CPT codes, and time-of-service collections, including the ability to clearly communicate financial responsibilities to patients. You will possess strong telephone, verbal communication, and listening skills to effectively interact with patients, insurance companies, physicians, and internal departments. You will maintains professionalism and sensitivity when working with diverse populations, follows strict confidentiality policies, exercises sound judgment in stressful situations, and applies basic math skills to calculate patient financial responsibilities such as deductibles, coinsurance, and out-of-pocket costs.
Required Qualifications
<ul><li>The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a high school diploma (or equivalent).
</li><li>A minimum of two years of experience in a hospital or physician practice business office is required.
</li><li>Excellent time management, organizational skills, research/analytical skills, negotiation, communication (written and verbal), and interpersonal skills required.</li>
<li>A medical terminology course must be successfully completed prior to employment.
</li><li>Associate's degree preferred.
</li><li>Medical prior authorizations or claims experience in a managed care setting and CHAA certification are highly preferred.</li>
</ul>
The Beacon Way
At Beacon Health System, our approach to care goes beyond clinical excellence because it&rsquo;s built on meaningful connections. Guided by our core values of Trust, Respect, Integrity, and Compassion, we strive to create an environment where patients feel heard, employees feel valued, and innovation thrives.
We call this commitment The Beacon Way&mdash;a six-point operating system that empowers every team member to lead with purpose, communicate clearly, cultivate talent, embrace performance improvement, leverage innovation, and build greatness through accountability. Whether at the bedside or behind the scenes, everyone at Beacon plays a role in moving health forward.</div> 
</div>
</div></div></div> 
Location: Beacon Health System &middot; Verification of Benefits 
Schedule: Full-time, Day, 0830-5pm M-F</div>

Patient Access Insurance Specialist, Verification of Benefits Department, Full-Time Days

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Patient Financial Specialist/CSR (4189) PATIENT ACCOUNTS CORP OF

Patient Financial Services Specialist

PATIENT FINANCIAL SERVICES SPECIALIST

Patient Financial Counselor

Patient Financial Counselor

Patient Access Account Specialist I-ABQ

Patient Access Insurance Specialist, Verification of Benefits Department, Full-Time Days