Patient Estimator Rep. JOB CODE:30975 FLSA Exemption Status:Non-Exempt. SUMMARY (BASIC PURPOSE OF THE JOB)Provides estimates and out of pocket financial responsibility to uninsured and self-pay patients. Evaluates patient eligibility and helps patients sign up for financial assistance. Answers patients and families questions regarding their insurance and responds to any questions related to out of pocket amounts due. MINIMUM REQUIREMENTS - Education: High school diploma or GED. Experience: One y... more details
Work Shift:
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.
Position Overview:
Patient Estimator Rep
JOB CODE:30975
FLSA Exemption Status:Non-Exempt
SUMMARY (BASIC PURPOSE OF THE JOB)
Provides estimates and out of pocket financial responsibility to uninsured and self-pay patients. Evaluates patient eligibility and helps patients sign up for financial assistance. Answers patients and families questions regarding their insurance and responds to any questions related to out of pocket amounts due.
MINIMUM REQUIREMENTS
Education: High school diploma or GED.
Experience: One year of previous work experience in a medical office or hospital setting. Experience in customer service role preferred.
Other Credentials:
Knowledge and Skills: Excellent verbal and written communication skills. Strong organizational skills. Knowledge of medical terminology and diagnostic (ICD-10), procedural (CPT) coding and other related medical terminology.
Special Training:Proficient with Microsoft Office Suite including database software. Familiarity with multiple internet search engines.
Mental, Behavioral and Emotional Abilities:
Usual Work Day:8 Hours
REPORTING RELATIONSHIPS
Does this position formally supervise employees? No
If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.
ESSENTIAL FUNCTIONS
- Manages calls and emails from website for pricing requests.
- Determines contracted rate for services using patient's insurance information and doctor's orders.
- Runs patients' benefits information through Capital Health's eligibility tool to determine out of pocket amounts.
- Communicates estimate of patients' out of pocket amounts verbally and sends a completed Good Faith Estimate (GFE) to the patient via email or mail.
- Acts as a liaison between Credit and Collection and the Medicaid/Charity Care vendor to assist patients with signing up for financial assistance.
- Works with Central Scheduling and the clinics to ensure that all patients receive a Good Faith Estimate (GFE).
- Collects Point of Service payments prior to or on dates of service.
- Performs other duties for the department as needed and assigned.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
Frequent physical demands include:
Occasional physical demands include: Standing , Walking , Twisting , Bending , Reaching forward , Reaching overhead
Continuous physical demands include: Sitting , Keyboard use/repetitive motion
Lifting Floor to Waist 0 lbs. Lifting Waist Level and Above 0 lbs.
Sensory Requirements include:
Anticipated Occupational Exposure Risks Include the following: N/A
Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.
"Company will never ask candidates for social security numbers or date of birth during application phase. If you are asked for this information online, you may be a target for identity theft."