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8110 Gatehouse Road, Falls Church, VA 22042

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Financial Specialist 1

Fairfax Medical Campus 623606 Full Time 3300 Gallows Road, Falls Church, VA, 22042, US
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Job Description

As a Financial Specialist 1, you will complete work assignments within established quality standards. To help achieve our mission, you will communicate effectively with various audiences by using the most appropriate methods. Counseling patients on financial liability using available financial counseling tools to achieve maximum reimbursement for patient services is of vital importance. Your ability to verify and enter insurance information and authorization/referral requirements is expected. Contributing to a safe patient care environment by identifying, analyzing and effectively solving problems is required.

Job Responsibilities
 
  • Accepts responsibility to review and correct errors before completion and routes to others for review when appropriate.
  • Educates and assists patients with the completion/submission of applications for alternative sources of payment for healthcare services such as medical assistance programs, loans and grants.
  • Reviews documented insurance benefits and patient liability in appropriate systems to prepare for patient counseling sessions.
  • Requests/secures balance due payments from patients in accordance with established policies and procedures.
  • Educates/trains others on insurance theory, insurance verification and authorization/referral processes.
  • Participates in related process improvement activities and makes suggestions for new or revised policies and procedures.
  • Demonstrates an understanding of account resolution processes such as benefit verification, insurance classification, billing complaint claims and account follow up.
  • Stays current with relevant insurance, contractual and/or third party payer regulations, medical policies, transaction/code sets and general payment methods needed to ensure proper adjudication and compliance with industry standards.


Additional Requirements

Education:

GED or High School diploma

Experience:

2 years of patient access experience

Skills:

Basic communication and computer skills. Proven history of sound decision making, problem solving, and analytical thinking.