CommonSpirit Health
Overview
Join to apply for the
Financial Services Associate II
role at
CommonSpirit Health . In keeping with the PHC philosophy, the Financial Services Associate II serves as the liaison for patients and provides education to patients regarding insurance coverage and guidelines. The Financial Services Associate II will evaluate insurance options and clinical services to meet the needs of the patients. The Financial Services Associate II is responsible for the tracking of insurance requirements, ensuring accurate documentation of completed requirements, pre-authorizations, and completing the checkout process with patients including cash collections. The role promotes quality, cost-effective outcomes, and manages financial and clinical care needs through the continuum of care using effective verbal and written communication skills. The Financial Services Associate II facilitates a positive patient experience through coordination and advocacy in obtaining financial clearance, required pre-certifications, authorizations and/or referrals, identifying eligibility for payment assistance programs, preparing payment plans, and other interactions with the patient. The Financial Services Associate II may also provide support with other clinic activities when needed. PHC is committed to excellent patient care and service. We strive to develop cohesive teams where all levels of employees can work together. Note: The job description defines primary tasks and does not preclude other staff from supporting the functions of the entire clinic. Some staff may be asked to perform work outside daily assignments, especially in smaller locations or to address staff vacancies. This team approach supports our goal of keeping the patient as the focus.
Responsibilities
Serve as the liaison for patients and educate patients regarding insurance coverage and guidelines.
Evaluate insurance options and clinical services to meet patient needs.
Track insurance requirements and ensure accurate documentation of completed requirements, pre-authorizations, and checkout with patients including cash collections.
Promote quality, cost-effective outcomes and manage financial and clinical care needs through the continuum of care.
Facilitate a positive patient experience through coordination and advocacy for financial clearance, pre-certifications, authorizations, and referrals.
Identify eligibility for payment assistance programs and/or prepare payment plans.
Provide support with other clinic activities as needed.
Qualifications
6 months experience working in an outpatient/physician office environment including financial counseling, insurance verification and authorization.
Strong customer service skills.
Effective communication and cooperative teamwork.
Ability to prioritize multiple tasks.
Ability to work closely with physicians to ensure quality in delivery of clinic services and front desk procedures.
Proactive and flexible approach to problem solving.
Ability to lead and participate in teams.
Ability to execute directives toward established goals and meet deadlines under pressure while maintaining attention to detail and a positive attitude.
Ability to interpret patient invoices.
Knowledge of payer and regulatory guidelines for medical insurance claims processing and reimbursement.
Knowledge of processes and procedures related to eligibility requirements of various insurance entities including government and private payers.
Thorough knowledge of Medicare, Medi-Cal, Physicians Choice and CenCal.
Where You'll Work Dignity Health’s Pacific Central Coast Health Centers (PHC) is a non-profit community clinic organization with more than 40 health centers located primarily from Ventura to Templeton, spanning the coast. Our physicians and advanced practice providers offer a wide range of primary and specialty care services. PHC is part of Dignity Health Central Coast’s network of hospitals, imaging centers, laboratories, and post-acute services.
Pay Range $24.00 - $32.74 /hour
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Join to apply for the
Financial Services Associate II
role at
CommonSpirit Health . In keeping with the PHC philosophy, the Financial Services Associate II serves as the liaison for patients and provides education to patients regarding insurance coverage and guidelines. The Financial Services Associate II will evaluate insurance options and clinical services to meet the needs of the patients. The Financial Services Associate II is responsible for the tracking of insurance requirements, ensuring accurate documentation of completed requirements, pre-authorizations, and completing the checkout process with patients including cash collections. The role promotes quality, cost-effective outcomes, and manages financial and clinical care needs through the continuum of care using effective verbal and written communication skills. The Financial Services Associate II facilitates a positive patient experience through coordination and advocacy in obtaining financial clearance, required pre-certifications, authorizations and/or referrals, identifying eligibility for payment assistance programs, preparing payment plans, and other interactions with the patient. The Financial Services Associate II may also provide support with other clinic activities when needed. PHC is committed to excellent patient care and service. We strive to develop cohesive teams where all levels of employees can work together. Note: The job description defines primary tasks and does not preclude other staff from supporting the functions of the entire clinic. Some staff may be asked to perform work outside daily assignments, especially in smaller locations or to address staff vacancies. This team approach supports our goal of keeping the patient as the focus.
Responsibilities
Serve as the liaison for patients and educate patients regarding insurance coverage and guidelines.
Evaluate insurance options and clinical services to meet patient needs.
Track insurance requirements and ensure accurate documentation of completed requirements, pre-authorizations, and checkout with patients including cash collections.
Promote quality, cost-effective outcomes and manage financial and clinical care needs through the continuum of care.
Facilitate a positive patient experience through coordination and advocacy for financial clearance, pre-certifications, authorizations, and referrals.
Identify eligibility for payment assistance programs and/or prepare payment plans.
Provide support with other clinic activities as needed.
Qualifications
6 months experience working in an outpatient/physician office environment including financial counseling, insurance verification and authorization.
Strong customer service skills.
Effective communication and cooperative teamwork.
Ability to prioritize multiple tasks.
Ability to work closely with physicians to ensure quality in delivery of clinic services and front desk procedures.
Proactive and flexible approach to problem solving.
Ability to lead and participate in teams.
Ability to execute directives toward established goals and meet deadlines under pressure while maintaining attention to detail and a positive attitude.
Ability to interpret patient invoices.
Knowledge of payer and regulatory guidelines for medical insurance claims processing and reimbursement.
Knowledge of processes and procedures related to eligibility requirements of various insurance entities including government and private payers.
Thorough knowledge of Medicare, Medi-Cal, Physicians Choice and CenCal.
Where You'll Work Dignity Health’s Pacific Central Coast Health Centers (PHC) is a non-profit community clinic organization with more than 40 health centers located primarily from Ventura to Templeton, spanning the coast. Our physicians and advanced practice providers offer a wide range of primary and specialty care services. PHC is part of Dignity Health Central Coast’s network of hospitals, imaging centers, laboratories, and post-acute services.
Pay Range $24.00 - $32.74 /hour
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