Financial Assistance Specialist

Pay range: $22.30 - $30.11 per hour, based on experience.

This full-time position comes with comprehensive benefits package that includes medical, dental, vision, a 403(b) retirement plan, and a generous Earned Time Off (ETO) program.

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:

Financial Assistance SpecialistREPORTS TO POSITION:
Customer Service Supervisor DEPARTMENT:
Single Billing OfficeDATE LAST REVIEWED:
June 27, 2025

OUR VISION:
Creating America's healthiest community, togetherOUR MISSION:
In the spirit of love and compassion, better health, better care, better valueOUR VALUES:
Accountability, Caring and Teamwork

DEPARTMENT SUMMARY:

The Single Billing Office (SBO) rles Health System (SCHS) provides revenue cycle services to our multi-hospital and medical group organization focusing on billing, collecting, and posting revenue. The goal of the SBO is to deliver a delightful, transparent, and seamless experience to patients and customers that capture and collect the revenue earned by SCHS in a quality, efficient and timely manner.

Services include but are not limited to: billing insurance claims, posting insurance and patient payments, resolving insurance denials, collecting unpaid insurance claims, maintaining payer contracts in the EMR, resolving under and over payments, identifying and resolving payer issues, processing refunds, processing financial assistance applications, billing patients, resolving patient accounts including patient questions, and vendor management: lockbox, clearinghouse, early out, collection agencies.

POSITION OVERVIEW:

The Financial Assistance Specialist is responsible for reviewing and processing all financial assistance applications received by St. Charles Health System according to the financial assistance program guidelines established by St. Charles Health System. This position does not directly manage any other caregivers.

ESSENTIAL FUNCTIONS AND DUTIES:

• Provide patients with financial assistance applications, track and process all documentation required to evaluate patients for assistance programs.
• Process financial assistance applications in alignment with all applicable policies, procedures and regulatory guidelines.
• Manage financial assistance application processing within regulated timelines, including applying account holds and vendor activities, such as temporary holds from collection activities or account recalls.
• Follow up with patients regarding incomplete financial documentation to finalize financial application process.
• Complete presumptive financial assistance screenings in alignment with all applicable policies, procedures and regulatory guidelines.
• Answer customer service inquiries from patients and other departments received via mail, phone and email.
• Reviews/works reports and queues.
• Maintains productivity and quality standards.
• Post applicable financial assistance adjustments in SBO health information systems following detailed review of account balances, coverage eligibility, financial assistance exclusions, applicable policies, procedures and regulatory guidelines.
• Update and maintain federal poverty guideline information and other regulatory requirements that impact policy or internal application processing procedures.
• Enter clear and concise documentation in the SBO health information system(s).
• Review and verify insurance eligibility and correspondence.
• Maintain knowledge of department and organizational structure, workflow, and operating procedures.
• Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
• Provides and maintains a safe environment for caregivers, patients and guests.
• Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
• Supports the vision, mission and values of the organization in all respects.
• Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
• May perform additional duties of similar complexity within the organization, as required or assigned.

EDUCATION

• Required:
  
  High school diploma or GED
• Preferred: N/A

LICENSE/CERTIFICATION/REGISTRATION

• Required:
  
  N/A
• Preferred:
  Certified Healthcare Financial Professional (CHFP), Certified Revenue Cycle Representative (CRCR), Certified Specialist Account and Finance (CSAF), Certified Specialist Payment and Reimbursement (CSPR).

EXPERIENCE

• Required:
  
  N/A
• Preferred:
  Two years of experience in a healthcare setting or other relevant office environment.

PERSONAL PROTECTIVE EQUIPMENT

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safe

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