Financial Assistance Specialist

Position: — Financial Assistance Specialist
# Financial Assistance Specialist

Requisition :
185820

Department:
100630 Patient Financial Access

Shift:
Day Category:
Clerical & Administrative Support### Paid Time Off### 401(k) Company Match### Flexible Work Environment Renown Health is northern Nevada's healthcare leader and Reno's only locally owned, not-for-profit health system. We are an entire network of hospitals, primary care offices, urgent care centers, lab services, medical specialties, and x-ray and imaging services - with more than 7,000 nurses, doctors and care providers dedicated to the health and well-being of our community.
** For Providers:
** Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) are affiliate partners in Nevada's first integrated academic health system. The affiliation aims to improve the health of the community, region, and state through research, medical education, and expanded clinical care. Renown physicians participate as joint faculty at UNR Med for teaching, lectures, supervising clinical rotations, and other academic activities for the education of medical and physician assistant students, residents and fellows.

Schedule:

Full Time - Eligible for Benefits
** Position Purpose
** Performs Financial Specialist functions through the accurate gathering of demographic, sponsorship or guardian data, insurance, financial and statistical information from a variety of sources, i.e., patients, patient’s families, physicians, physician office staff, county and/or governmental agencies. For patients without a payer source the Financial Assistance Specialist will ensure that the patient is screened and assisted with the applications for government, local or charity as well as Financial Assistance Program (FAP) for Renown.

The responsibilities of the Financial Assistance Specialist includes but is not limited to the following:
• Obtaining and accurately entering demographic and financial information into the computer system.
• Identifying all insurance payer sources and payer order sequence
• Verifying insurance eligibility and benefits
• Timely insurance notification
• Determining estimated financial responsibility for services being rendered
• Identifying and collecting patient financial obligation amounts, i.e., co-payments, co-insurance, deductibles, etc.
• Facilitate the application process for financial assistance with all applicable and appropriate patients including pre-admission, bedside visits while in-house, and walk-ins to Patient Financial Assistance or Business office.
• Follow up with patients to obtain all supporting documentation for each application process.
• Maintain documentation on all work activity for each patient account in the appropriate systems.
• Maintain communication/correspondence with patients, representatives, designated family members, appropriate Renown staff and all government entities on all accounts served.
• Review FAP applications and verifications received and document in all applicable patient accounts for FAP Committee review and processing.
• Monitors all cases processed for financial assistance and by the FAP Committee to completion.
• Completes documentation to justify adjustments for processing by the Central Business Office.
• Ensures all accounts are accurately noted for FAP eligibility and that all financial resources have been exhausted.
• Completes follow up with patients denied for financial resources to gain their cooperation for Financial Assistance.
• Ensures all patient co pay balances are collected at the time they are determined eligible for FAP and the FAP application is provided.
** Nature and Scope
** This position is responsible to conduct a comprehensive financial screening, in person or by telephone interview, to identify all potential payer sources including commercial insurance, federal, state and county assistance programs, and follow through with obtaining and processing the appropriate application(s) in a timely manner. Whenever possible, the screening will be done prior to admission. The employee is responsible to ensure this process is expeditious, compassionate and patient friendly.

This position is accountable for timely coordination…