Employment Type:

Shift:

Description:

POSITION PURPOSE

Under limited supervision, determines liability on patient accounts, and works with patients or their representatives to provide financial assistance or secure payment . Facilitates processing of Medicaid and other financial assistance application and initiates eligibility determination for Health System's charity care fund. Follows up on delinquent accounts until resolved.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

Estimates patient liability on accounts, evaluates credit histories and other resources.

Counsels patient on cost of treatment, insurance benefits, resources for payment, and financial assistance. Secures and documents payment arrangements.

Verifies and updates patient demographic information on registration and billing systems.

Audits bills for accuracy.

Collects deposits and payments.

Assists potentially eligible patients in completing forms for bank loans, Medicaid, CMHS charity care and other sources of financial assistance within required timeframes.

Reviews delinquent accounts to ascertain previous collection action taken, status and extent of insurance coverage and potential collectibles.

Contacts those who have not responded to payment requests. Monitors monthly payers.

Re-bills, COBS, and original bills third parties to charges posted after the billing and transfer date.

Processes adjustments to Accounts Receivable, include refunds.

Prepares reports and maintains account activity logs.

Acts as liaison with other Trinity service areas, family members, and physicians regarding billing requirements, and financial assistance, and coordinates activities to avoid reimbursement delays.

Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps to identify problems, offer solutions, and participate in their resolution.

Maintains the confidentiality of information acquired pertaining to patient, physicians, employees, and visitors to St. Joseph Mercy Hospital. Discusses patient and hospital information only among appropriate personnel inappropriately private places

Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.

Behaves in accordance with the Mission, Vision and Values of St. Joseph Mercy Health System.

OTHER FUNCTIONS AND RESPONSIBILITIES

Performs other duties as assigned.

REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE

Education:

Requires high school diploma or equivalent and one year of specialized training.

Experience:

One to two years progressively more responsible related work experience

REQUIRED SKILLS AND ABILITIES

Knowledge of basic accounting principles and patient billing procedures .

Interpersonal skills necessary to communicate effectively with patients and families when determining financial status, establishing payment arrangements, and collecting accounts, as well as with insurance companies and other SJMH and Patient Financial Services department staff.

Analytical skills necessary to calculate patient liability, income status and solve problems related to credit and collection matters.

Demonstrated knowledge of SJMH patient accounting systems and accounts receivables .

This document is intended to describe the generalized duties and responsibilities, the specialized job functions, and the essential requirements of this job. It is not intended to be an exhaustive statement of all supplemental duties, responsibilities, or non-essential requirements or reflect any accommodations made under the American’s with Disability Act, the Michigan Handicapper’s Act, or SJMHS’s Return to Work Program

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.