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Accounts Receivable Specialist Financial Clearance RMC

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Location: Buffalo, NY, United States
Date Posted: Aug 6, 2020

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Job Description

Facility: Administrative Regional Training Cntr

Status: Full Time

Work Schedule: Days

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: No

Hours:8-4

Shift: Shift 1:

FTE: 1.000000:



Summary:


The Revenue Management Center supports the revenue cycle for all of the acute care sites and related departments, service lines and business units organized within the acute care site of Mercy Hospital, Sisters of Charity Hospital including the St. Joseph Campus, Mount St. Mary's Hospital and Kenmore Mercy Hospital. Combined this consolidated base has approximately 1065 beds, over 55,400 annual inpatient visits, over 1.346 million outpatient visits and over 163,000 emergency room visits. This consolidation makes up approximately 90% of total Catholic Health net revenue in excess of approximately $1 billion annually.



This position is responsible for financially clearing all patients coming to Catholic Health for a scheduled or non-scheduled visit to one of our providers. Financial clearance is the process by which a representative for the Revenue Management Center interacts with the patient, physician/or physician office and payer to ensure the following: (1) Verification of insurance eligibility and benefits as understood by the patient and their insurance company, (2) All necessary referrals and/or authorization requirements have been met prior to their visit, (3) Ensure the patient understands their financial responsibility for their visit, provide options for payment and explanation to the patient regarding concerns/questions around financial responsibility, and (4) Assist our patients with understanding the Catholic Health financial assistance programs and commitment to the community regarding their ability to pay and arrangements we can make in assisting them. A high level of customer service is expected in this role at Catholic Health.

Responsibilities:


EDUCATION
  • High School diploma
EXPERIENCE

  • Healthcare financial counseling or insurance verification experience preferred
KNOWLEDGE, SKILL AND ABILITY

  • Strong computer skills (MS Word and Excel preferred)
  • Demonstrated Customer Service skills
  • Excellent written and oral communication skills
  • Ability to work well with others
  • Dependable in both production and attendance
  • Self-Motivated
  • Ability to stay calm under stress or dealing with difficult individuals

WORKING CONDITIONS

  • Normal heat, light space, and safe working environment; typical of most office jobs
  • May be required to travel between sites
  • May be required to cover weekends or evening shifts


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