Acct Spec-Patient Outreach

The purpose of this position is to serve as a resource regarding alternative payment options for uninsured or underinsured patients and assist patients by providing them with a clear understanding of medical financial liabilities and assistance options.

Department Summary

This department is responsible for assisting patients with charity adjustments and financial solutions.

Qualifications

• High School Diploma or equivalent
• 3 years of experience with financial counseling and charity care

Department Qualifications

Skills

• Comprehensive knowledge of billing and collection procedures
• Knowledge of claims review
• Refined communication skills, both written and oral
• Ability to cope with the stress of the position and deadlines imposed
• Refined organizational skills
• Ability to function independently, displaying personal integrity and always maintaining confidentiality
• Professional manner and appearance in accordance with Aultman Health System policies
• Comprehensive knowledge of computer and software systems utilized by the department.

Department Skills

• Maintains a detailed tracking process to assure accurate initiation and completion of application processing
• Maintains an expert level of knowledge in all systems utilized in the day-to-day role and responsibilities of this position.
• Maintains an organized database of all current and previous applications
• Maintains a working knowledge of Federal, State, and commercial insurance requirements, regulations, and reimbursement
• Works with management to develop, educate, and implement practice protocols and procedures to assure compliance with HCAP regulations.
• Maintains open communication and confidentiality with customers, peers, and referral sources
• Identify areas for inter and intradepartmental operational improvements.
• Knowledge of insurances and social services
• Work with other hospital departments to assure integration of financial counseling into clinic areas in coordination with vendors
• Work in coordination with local and/or state social service agencies to provide care for patient after discharge from Aultman Health System
• Assist in coordinated prescription assistance for patients in need of that service

Working Conditions

• Work eight hours a day.
• Possible Hybrid/WFH schedule available
• Lunch periods and breaks are coordinated with other staff members to maintain adequate floor coverage
• Cross training in all areas in the department is required.

Category III - Includes tasks that involve no exposure to blood, body fluids, or tissues and Category I tasks are not a condition of employment. The normal work routine involves no exposure to blood; body fluids or tissues (although situations can be imagined or hypothesized under which anyone anywhere might encounter potential exposure to body fluids.) Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency care or first aid or to be potentially exposed in some other way.