R1 RCM

Compensation

Full Description

Job Description: • Initiate process for collecting prepays due and perform follow up activity to ensure maximum collection is achieved. • Identify hospital, public financial assistance programs for patients unable to meet their financial obligations. • Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in completing assistance program applications and determine eligibility and coverage. • Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency. • Counsel patients regarding insurance benefits and recommend alternative sources of payment and financial assistance when appropriate. • Contact/check insurance carriers and websites for non-automated eligibility and act as an advocate for the patient. • Notify manager, physician and servicing department of possible delay of service for any elective, urgent admissions, procedures and scheduled diagnostic testing which have not been approved prior to the date of service. • Perform all other duties and projects as assigned. Requirements: • High School diploma or equivalent experience • No experience required Benefits: • Competitive benefits package