Bayhealth
Location: Kent Campus Hospital
Status:
Full Time 80 Hours
Shift:
Days
General Summary:
The Patient Cost Estimation Specialist requires a detailed understanding of all Price Transparency initiatives and subsequent pricing challenges facing the Bayhealth organization in a complex health care environment. This individual is the primary liaison for families and internal staff seeking cost estimation quotes as it relates to a patient's benefit plan; directly securing volume and revenue within the Network. Candidate will have extensive knowledge of the organization's charge masters, patient benefit design, and an ability to communicate information surrounding price estimates by service, including applicable discounts, in a professional, polite, family-friendly atmosphere. Acts as central point of contact for internal Bayhealth teams to address patient pricing questions and is able to leverage a variety of systems, tools, and resources to ensure the ideal patient financial experience is created.
Responsibilities:
1. Minimizes patient complaints through effective and accurate communication and education related to patient out-of-pocket costs for hospital and physician services. 2. Cultivates internal relationships at the corporate, facility, and departmental levels to gain support and participation in patient cost estimation initiatives. 3. Communicates organizational and patient needs around cost estimation to ensure internal and external customer satisfaction. 4. Proactively identifies discrepancies within EPIC Tool and works with appropriate teams to resolve. 5. In conjunction with department leaders, identifies compliance risks and assists in the development of strategies/solutions. 6. Periodically provides training, as needed, to front line staff to ensure staff knowledge remains up-to-date with current payer contracts and patient estimation process. 7. Assists in modeling effects of payor network changes and potential impact on patient financial responsibility. 8. Identifies opportunities to improve revenue cycle performance related to patient cost estimation. 9. Accepts payments made in advance of service and hands off to appropriate billing office for posting to patient account. 10. For patient/families with insurance, calculate patient estimate based on plan, benefits and out of pocket thresholds; discuss and finalize method of payment. Ensures all activities are documented within EPIC. Ensures all completed estimates are issued in letter format. 11. All other duties as assigned within the scope and range of job responsibilities
Required Education, Credential(s) and Experience:
Education: High School Diploma or GED
; Credential(s): None Required ; Experience: Required: Three years' experience in Financial Counseling, Patient Access or Revenue Cycle required Preferred Education, Credential(s) and Experience:
Education: Associate Degree Credential(s): Certified Revenue Cycle Representative Experience:
To view a full list of all open position at Bayhealth, please visit:
https://apply.bayhealth.org/join/
Status:
Full Time 80 Hours
Shift:
Days
General Summary:
The Patient Cost Estimation Specialist requires a detailed understanding of all Price Transparency initiatives and subsequent pricing challenges facing the Bayhealth organization in a complex health care environment. This individual is the primary liaison for families and internal staff seeking cost estimation quotes as it relates to a patient's benefit plan; directly securing volume and revenue within the Network. Candidate will have extensive knowledge of the organization's charge masters, patient benefit design, and an ability to communicate information surrounding price estimates by service, including applicable discounts, in a professional, polite, family-friendly atmosphere. Acts as central point of contact for internal Bayhealth teams to address patient pricing questions and is able to leverage a variety of systems, tools, and resources to ensure the ideal patient financial experience is created.
Responsibilities:
1. Minimizes patient complaints through effective and accurate communication and education related to patient out-of-pocket costs for hospital and physician services. 2. Cultivates internal relationships at the corporate, facility, and departmental levels to gain support and participation in patient cost estimation initiatives. 3. Communicates organizational and patient needs around cost estimation to ensure internal and external customer satisfaction. 4. Proactively identifies discrepancies within EPIC Tool and works with appropriate teams to resolve. 5. In conjunction with department leaders, identifies compliance risks and assists in the development of strategies/solutions. 6. Periodically provides training, as needed, to front line staff to ensure staff knowledge remains up-to-date with current payer contracts and patient estimation process. 7. Assists in modeling effects of payor network changes and potential impact on patient financial responsibility. 8. Identifies opportunities to improve revenue cycle performance related to patient cost estimation. 9. Accepts payments made in advance of service and hands off to appropriate billing office for posting to patient account. 10. For patient/families with insurance, calculate patient estimate based on plan, benefits and out of pocket thresholds; discuss and finalize method of payment. Ensures all activities are documented within EPIC. Ensures all completed estimates are issued in letter format. 11. All other duties as assigned within the scope and range of job responsibilities
Required Education, Credential(s) and Experience:
Education: High School Diploma or GED
; Credential(s): None Required ; Experience: Required: Three years' experience in Financial Counseling, Patient Access or Revenue Cycle required Preferred Education, Credential(s) and Experience:
Education: Associate Degree Credential(s): Certified Revenue Cycle Representative Experience:
To view a full list of all open position at Bayhealth, please visit:
https://apply.bayhealth.org/join/