west-bloomfield Work Opportunities ∙ Page 1

Overview

PURPOSE STATEMENT:

Responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections. 

Responsibilities

ESSENTIAL FUNCTIONS:

• Responsible for auditing the admission packets and for the verification of benefits along with all patient demographic information in the patient accounting system.
• Financial counseling of patients and/or guarantors and collecting any out of pocket (deductibles, copays, exhausted days, etc). Provide information to the patient and/or guarantors regarding their benefits and financial obligations.
• Complete financial disclosure paperwork for patients that request assistance including verifying income and expenses.
• Complete adjustment forms for any charity or administrative adjustments for approval.
• Complete promissory notes for patients that request payment arrangements.
• Update daily the upfront collection log, charity log, and admin adjustment log. Review with BOD on a weekly basis.
• Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Bachelors Degree, preferred 
• Three or more years' experience in related field required. 
• Extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid required.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Not applicable

ADDITIONAL REGULATORY REQUIREMENTS:

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.