University of Utah Health Financial Admission and Enrollment Specialist in SALT LAKE CITY, Utah
As a patient-focused organization, the University of Utah Health Care exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health Care seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA
This position is responsible for facilitating the resolution of funding issues for insured and self-pay hospital patients. May work with Medical Director, physicians, and billing offices to determine cost estimates for procedures and coordinates patient access to scheduled procedures. Responsible to collect payment for services throughout the revenue cycle.
This position is not responsible for providing care to patients.
Conduct Interviews and screen un-funded patients to determine the best funding source such as: Medicaid, crime victims and Affordable Act insurance plans. The incumbent will work with government agencies to process the required applications for eligibility. Follows the applications closely until the account converts to funded or denied.
If no funding source is available the incumbent will assist patients to complete financial hardship applications. Has the authority to grant full or partial charity, prompt pay discounts or payment arrangements
Must be able to work with patients and family members during catastrophic or challenging life events which may involve, but are not limited to disability, amputation, or death
Creates price estimates based on the insurance plan or unfunded status for services to be rendered or prospective patients shopping for prices. Collects patient responsibility based upon the estimate through-out the Revenue Cycle.
May coordinate and obtain “Certificate of Medical Necessity” if the upcoming procedure is not life threating in the event the patient is unable to make a substantial payment toward the services to be rendered. The incumbent has the authority to determine the amount of the deposit based upon financial status.
Determines third-party liability in cases of injury or assault and initiates paperwork required for hospital liens. Initiates claim process with third-party payer (i.e.: auto insurance company, worker’s compensation) on behalf of patient when appropriate.
Coordinates and manages all financial aspects related to insurance benefit information, authorization, billing and collections.
Responsible to coordinate communication to the patient/ provider when authorization or benefits are not secured
May obtain prior authorizations, ability to determine accurate CPT codes, and submits required documentation.
Knowledge / Skills / Abilities
The ability to express information in a clear and understandable manner
Time Management skills
The ability to service and resolve customer requests with the customer in mind first and foremost.
Takes ownership for the quality and timeliness of work and can achieve results with little oversight
Displays and understands the difference between individual and collective accountability; promotes cooperation and commitment to team goals
Ability to solicit and act on constructive feedback, challenge yourself with tough assignments, and demonstrate resilience and courage in the face of setbacks and oppositions
Three years of experience with medical accounts receivable, insurance claims, or equivalency
Knowledge of CPT , ICD9/10 and DRG codes
High School Diploma
Previous experience with medical accounts receivable, insurance claims, or equivalency.
Bilingual language skills may be preferred
Medicaid enrollment process
Coding certification; CCS, CPC-H, CPC-P
CMS Certified Financial Counselor
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
- This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.
Requisition Number 25233
Employment Type Full-Time
Work Schedule 8-5
Location Name Huntsman Cancer Hospital
Patient Care? No
City SALT LAKE CITY
Department UUH CST 10R PAT ACCESS FIN SVC
Category Customer Service
The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.