Note: The job is a remote job and is open to candidates in USA. Mosaic Life Care is a health care system in northwest Missouri focused on providing high-value, quality care to patients. The Patient Financial Clearance Representative ensures patient financial records, insurance eligibility, prior authorizations, and registration information are accurate before scheduled services. The role also communicates estimated costs, collects payments, addresses financial assistance needs, and resolves patient billing questions.
Responsibilities
- Makes outbound calls pre-service to for patients that have upcoming services scheduled with Mosaic Lifecare. Maintains a professional and courteous tone of voice and communication clearly with the patient
- Reviews patients estimated out of pocket amount due for services for both Clinic and Medical Center services and requests payment over the phone prior to service. Also communicates any previous balance due from the patient on past balances
- Communicates the Mosaic Lifecare Financial Assistance Policy and based on need determined by the PARO score and evaluates the patients need
- Discusses any out of network and non-covered services with the patient to ensure the patient is prepared for any out of pocket expenses prior to service
- Reviews and confirms patients insurance is eligible for the date of service. Research any patient that is not eligible to identify other coverage
- If the patient is unable to pay their estimated out of pocket the Patient Financial Clearance representative will evaluate the patient’s ability to qualify for Mosaic’s loan financing program
- Confirms with the patient the accuracy of all registration data fields and updates any necessary changes to the patient’s demographic information
- Verifies the patients’ health insurance information with the patient to ensure accuracy of billing
- De-escalates patient complaints related to current or past due balances. Researches the Patient Accounting system to assist the patient with any questions related to previous visits related to registration, charging, and billing
- Complies with department standard for length of call, speed to answer, and aids in the prevention of abandoned calls
- Other duties as assigned
Skills
- 1 Year - Experience with pre-access services policies - Required
- Travel to off-site locations may be required. - Required
- Communicates clearly and concisely; good hand eye coordination
- Excellent oral and written communication skills
- Maintains good rapport and professional relationship with caregivers
- Demonstrates excellent customer service skills by maintaining friendly, courteous and helpful behaviors
- Ability to operate equipment on continuous/repetitious basis such as computer, telephone, fax and copier
- Multi-skilled responsibilities require sitting, walking and standing
- Analyze and interpret data
- Excellent short term and long term memory
- Ability to perform multiple tasks and follow system policies and procedures
- Visually assess paper and electronic data, hear telephone and converse
- Demonstrated self-starter
- Excellent oral, written, and interpersonal communication skills; excellent organizational skills
- Ability to quickly assess and respond appropriately to emergency situations
- Ability to comprehend medical terms
- Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles
- Knowledge and experience with a variety of information systems and Internet usage; experience with spreadsheet and word processing software
- Ability to work independently and manage individual workload to meet productivity standards along with a varied schedule, which includes weekend and evening coverage
- H.S. Diploma - Preferred
- Associate's Degree - Preferred
Benefits
- Remote workplace arrangement
- Concierge services
- Employee lounge
- Wellness programs
- Free covered parking
- Free on-site and virtual health clinics
Company Overview
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