Personal Growth. Expansion. Teamwork. Innovation. Be a part of a truly patient-first environment and an organization that cares about their employees.
The Patient Financial Services Coordinator (PFSC) is responsible for verifying patients’ eligibility and benefits, obtaining authorization and /or referrals for patient encounters/procedures from their insurance company or referring provider; gathering current out-of-pocket and deductible information, securing patient responsibility prior to services and managing charity care and/or discount requests.
This is a full time role and it will be based at our Corporate Office in Woodbury, MN. Full-time, day hours, 8:00 AM to 4:30 PM. Required training is in office with the ability to work from home once fully trained.
Job Duties:
- Create payment arrangements for uninsured patients and patients on high deductible plans for all physician visits prior to services.
- Verify by phone, web, or in writing the prior authorization expectations as well as eligibility of the patients’ insurance for the following medical encounters/procedures
- MRIs-using decision tools and phone/internet when necessary
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Work Comp, Auto, Med Legal and any other required referral clinic visits
- Professional Fee for surgical procedures as well as facility fee for procedures performed at Summit locations
- Obtain and enter pre-certification and/or prior authorization numbers into the registration fields and scan in Practice Management/EHR software.
- Review and correct discrepancies in registration and insurance information and update in the Practice Management Software at time of authorization.
- Assist patient with medical assistance and charity care applications, counsel patients on options such as care credit.
- Maintain current knowledge regarding third-party and first-party payment procedures and regulations as well as preferred provider agreements.
- Communicate professionally with patient, family members, co-workers and physicians
Required knowledge, skills and abilities
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Ability to communicate effectively and professionally to a diverse group of employees, using both verbal and written communication skills.
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Individual should be strong in abilities to multi-task, problem solve, prioritize and organize and process large volumes of requests and have high attention to detail.
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Highly motivated individual who can work autonomously and as part of a team.
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Must be confidential in all business-related matters and be knowledgeable in HIPAA regulations.
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Proficient in the use of modern office software and equipment with accurate keyboarding skills.
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Must be knowledgeable of and comply with all confidentiality requirements related to assigned healthcare business activities and management of patient records, including but not limited to compliance and HIPAA regulations.
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Must be knowledgeable of and comply with all safety requirements and practices related to assigned responsibilities
Summit Health ASO, provides administrative and clinical support to our full spectrum of orthopedic care services in our sub-specialty clinics, walk-in care at our Orthopedic Urgent Care clinics, imaging, bracing, therapy, surgery, and post-surgical stays at our Care Suites. Our expert teams are part of the 1000+ employees who partner to provide quality services and care designed to support a healthier, more active lifestyle.
Summit Orthopedics is committed to providing equal opportunity to all employees and applicants for employment in accordance with all applicable laws and regulations of federal, state and local governing boards and/or agencies.