Lindner Center of HOPE · 1 month ago
Patient Financial Services Specialist (.8 FTE)
Mason, OH
Contract
Onsite
Mid Level
3+ years expLindner Center of Hope is a nonprofit, comprehensive mental health center and global leader in mental health care. The Patient Financial Services Specialist serves as the primary contact for patients and families regarding financial assistance, insurance coverage, authorizations, and preservice payment, ensuring a smooth financial process for patients.
Health CareMedicalMental HealthNon Profit
Responsibilities
Conducting financial interviews with inpatients, residential patients, and any outpatients
Working with health insurance providers to determine coverage and benefit levels and providing information regarding hospital payment options and financial assistance programs
Completing necessary forms in accordance with hospital policies
Meeting with patients admitted during the business day to complete the formal admission into the EMR system by collecting and verifying patient demographic and insurance information
Obtaining the appropriate signatures on consents and assignment of benefits
Scanning insurance cards, picture ID, and other appropriate documents into the document imaging system
Assisting with insurance eligibility and benefits verification electronically if patient presents with new insurance
Contacting the patient or responsible party by phone to complete pre-registration and obtain or verify all demographic and insurance information making updates or corrections in the patient account system as appropriate
Screening for medical necessity and completing the Medicare Secondary Payer Questionnaire for all Medicare patients during the pre-registration process
Calling applicable insurance companies to obtain facility and professional mental health, substance abuse and eating disorder benefits
Accurately documenting insurance benefits and patient’s financial liability in the appropriate fields of the patient account system
Alerting team members to any insurance coverage issues immediately and following up with patient/patient representative until resolved
Performing audit of accounts to ensure all of the required demographic, insurance, financial forms, and contracts are obtained and documented in the electronic medical record
Communicating applicable deductible, co-pay, or coinsurance to patient during pre-registration or upon check-in
Collecting co-pay, deductible or other out-of-pocket liability including residential self-payments and accurately posting the payment to the patient account system and receipting the patient
Setting payment arrangements as appropriate and referring the patient to the financial counselor as need arises
Preparing patient cost estimates
Reviewing the process for filing insurance claims for inpatient, residential, PHP, ECT, TMS, IOP, and Outpatient as needed
Assessing the patient’s need for financial assistance during the admission process or at a time prior to the patient’s discharge
Determining patient eligibility for Charity care for inpatient/outpatient levels of care and completing reviews of the charity application in accordance with the LCOH charity care policies
Obtaining the final approval of the application from the Registration Manager prior to notification to the patient or family
Determining when renewal of charity applications need completed
Sending letter to patient notifying them of eligibility for charity care and charity amount
Providing education / counseling to self-pay patients regarding available government coverage options
Monitoring financial counseling workqueues in EPIC for currency
Serving as the initial contact for determining out of network benefits and obtaining information for potential single case agreements or reimbursement
Working with Intake staff and other clinical teams on initial referrals to inpatient or other LCOH programs to confirm coverage levels prior to admission
Working with the CFAO to determine feasibility of single case agreements
Meeting with the Utilization Review team routinely to discuss admissions that are a financial risk to the center
Coordinating with Intake and OPP staff to obtain appropriate authorizations, as evidenced by lack of denials for no authorization
Accurately entering authorization number(s), and authorized dates and services in the appropriate field of the patient account system
Communicating any applicable deductible, co-pay, or coinsurance to patient prior to their visit, making arrangements for payment as appropriate
Working closely with clinical team and insurance companies to get treatment plans completed and to obtain the clinical information needed for insurance authorizations for ECT, TMS and Outpatient services
Tracking services received and follow-up with the insurance company to obtain additional authorization as needed
In connection with the registration manager, working with Intake/ARC, outpatient registration, residential admissions and utilization review departments to ensure benefit verifications authorizations, helping hands applications, probono, financial assistance applications and other insurance related questions both internally and externally are addressed timely
Completing a note in the system on all discussions, events and outcomes regarding patient accounts
Responding to all inquiries regarding patient accounts, financial assistance policy and network status
Maintaining a working knowledge of the various LCOH and LCOHPA service lines
Staying abreast of third-party payer requirements and attending seminars and courses on relevant topics as directed by management
Maintaining effective communication and cooperative working relationships with other departments, staff, medical staff, patients, and visitors
Conducting patient communication in a manner that will result in positive patient relations and prompt payment for Lindner Center of HOPE
Demonstrating poise and compassion when handling patient financial situations and considering all possibilities to provide the patient with the most appropriate options for their situation
Completing productivity requirements timely and accurately
Assisting the ECT, TMS, Financial Counselor and Welcome Center Registration Specialists with registration duties during busy times
Performing all other duties as assigned
Qualification
Required
High school diploma required; Associates degree preferred
Minimum of 3 years' experience in healthcare required
Experience working in mental health setting preferred
Must have experience conducting face to face interviews with Collections and/or Medical Billing experience
Must have a working knowledge of third-party payer contract terms and the ability to calculate patient liabilities
Excellent communication, customer service and math skills along with a high degree of confidentiality are required
Must have strong computer skills including Excel and Word
Analytical and decision-making skills with a strong attention to detail required
Ability to enthusiastically follow and model the Lindner Center of HOPE mission, vision and values
Preferred
Associates degree preferred
Experience working in mental health setting preferred
Benefits
Affordable medical, dental, and vision plans for both full-time and part-time employees
Flexible spending and health savings accounts
Generous paid time off that starts accruing on day one
Opportunities for tuition reimbursement and continuous education
An employer-matching 401(k) retirement plan to help you plan for the future
Complimentary gym membership
Employer-provided short and long-term disability coverage, life insurance and an Employee Assistance Program
Company
Lindner Center of HOPE
Lindner Center of Hope is a nonprofit mental health center that offers comprehensive services for mental illness and addiction issues.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Jan Marhefka
Chief Nursing Officer
Jennifer Pierson
Chief Brand and Advancement Officer
Recent News
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