Mercy Health Careers

Description

Summary:
Under general supervision and according to established procedures, performs duties associated with interviewing patients and assisting them with making suitable arrangements to meet their financial obligations to Mercy Health Muskegon.

Job Specific Essential Functions:

• Obtains suitable financial arrangements with the patient prior to discharge and communicates established hospital credit policies.
• Assists patient in completion of financial application to determine monthly payments, eligibility for charity write off or CMH involvement.
• Must be able to to have in depth conversation with a patient regarding benefits levels and how they apply to services rendered
• Provides assistance in applying for pending Medicaid and/or financial programs. Follows up on accounts to determine retroactive Medicaid eligibility.Reviews private pay folders for referral to onsite FIA caseworker.
• Verifies Medicare, Medicaid and other insurance information. Checks internet or telephones provider to determine eligibility, effective dates, pre-certification requirements, co-pays and deductibles. If coverage not verified, calls office to cancel scheduled services. Provides assistance to admitting staff specific to patient registration and scheduling on an as needed basis. Receives incoming phone calls relative to ancillary test scheduling.
• Applies good phone skills: sounds pleasant, is helpful, and listens with understanding.
• Contacts patients and schedules them for procedures/tests. Interviews patients over the telephone and obtains required demographic information such as address, age, type of insurance, birthdate, social security number, and so forth. Delivers excellent customer service to patients, their family members and other colleagues in a helpful, courteous manner. Asks for and provides all information necessary to promote customer satisfaction, understanding of expectations and the hospital environment.
  
  Qualifications:
  • High school diploma or equivalent required. Associates Degree preferred.
  • One year of hospital billing and/or collection experience required or 1 year of experience in hospital insurance verification and collection processes in required in one or more of the following disciplines \u2013 Patient Billing/ Accounting, Accounts Receiveable Management, or Patient Access. Patient Access candidates needs to possess insurance verification experience with interpretation of medical benefits of multiple insurance plans.
  • Ability to understand and utilize hospital computer software as well as third party online inquiry systems. Working knowledge and experience in the Medicaid application process. Working knowledge of commercial healthcare benefits, government programs and sources of financial aid available to patients, including strong knowledge of State, County and Federal Assistance Programs required. Interpersonal skills necessary to assertively establish patient financial arrangements and effectively provide education and financial counseling to patients and families in a courteous, diplomatic manner.
    
    Shift:
    Looking for individual to cover variable hours on 1st and 2nd shift
    ***PLEASE NOTE: this is NOT a full time, part time, or call in position. Hours vary and are scheduled in advance to cover 1st and 2nd shifts as needed.