Patient Access Rep II

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

This position is responsible for identifying and collecting patient financial obligation for the duration of stay as  well as verifying the eligibility/benefits information for the patient's visit. This position will also determine  eligibility for the hospital's various financial assistance programs.

Performs collection functions and financial assistance for payment methods

Conducts interviews with patients and/or family members

Collect and/or negotiate point of service payments or link to financial assistance programs

Must be capable of articulating information in a courteous, clear and informative manner to patients, guarantors, family members, clinical staff, other hospital personnel, vendors, physicians, and their office staff

Convey estimates of the patient responsibility portion of the billed cost of service to patients under deductible,  coinsurance, and standard co‐pay benefit designs based on established charge estimates for common procedures

Counsels patients regarding their third‐party coverage, financial responsibility, and billing procedures

Review patient account summaries of unbilled charges, billing, payments, and collection activities

Obtain all forms required for patients potentially qualifying for financial assistance

Review and monitor accounts for inpatients and initiate proper action

Ensures payors are listed accurately, pertaining to primary, secondary, and/or tertiary coverage and billing when a patient has multiple third party/governmental payors listed on an account.

Process patient accounts and deploy established policies to resolve insurance issues with patient accounts  with/without supervision i.e. conference calls with employer, payor and physician office staff

Initiate pre‐cert for in‐house patients when required, obtaining pre‐certification reference number, approved  length of stay, and utilization review company contact person and telephone number

Education & Experience

High School Diploma/GED

1 Year of experience preferred