University of Utah Health Care

Returning Candidate?

Financial Admission and Enrollment Specialist

Financial Admission and Enrollment Specialist

Requisition Number 
27269
Reg/Temp 
Regular
Employment Type 
Full-Time
Shift 
Day
Work Schedule 
9-5
Location Name 
Business Services Building
Patient Care? 
No
City 
SALT LAKE CITY
State 
UT
Department 
UUH ISC 10D PAT ACCESS FIN SVC
Category 
Customer Service

More information about this job

Overview

As a patient-focused organization, the University of Utah Health Care exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health Care seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA

For use in RCSS only.

This position is responsible for informing and assisting patients with their financial obligation for health care services through education, coverage enrollment assistance, financial hardship applications or other programs.

This position is not responsible for providing care to patients.

Responsibilities

  • Conducts interviews and screenings for unfunded patients to determine all available funding sources (s) including Commercial Insurance, Government programs (Medicare, Medicaid), Crime Victims, Affordable Care Act plans, Third Party Liability or other programs/sources.
  • Work with Government Agencies, Third party payers and other key parties to process applications, paperwork or other requirements until completion and/or resolution.
  • Assists uninsured patients with financial hardship applications. May grant full or partial charity, prompt pay discounts or payment arrangements as necessary.
  • Creates service price estimates based on insurance benefits and/or self-pay status for upcoming services or prospective patients.
  • Collects estimated patient responsibility throughout the revenue cycle both in person and other the phone.
  • May coordinate and obtain "Certificate of Medical Necessity" or other approval for scheduled services when patient is unable to make a substantial or minimum payment towards services.
  • Responsible to coordinate communication to patients, families, providers or other key parties when authorization or benefits are not secured.
  • May obtain prior authorizations from insurance carrier; including CPT code determination and submitting required documentation.

Knowledge / Skills / Abilities

  • The ability to express information in a clear and understandable manner
  • Time Management skills
  • The ability to service and resolve customer requests with the customer in mind first and foremost.
  • Takes ownership for the quality and timeliness of work and can achieve results with little oversight
  • Displays and understands the difference between individual and collective accountability; promotes cooperation and commitment to team goals
  • Ability to solicit and act on constructive feedback, challenge yourself with tough assignments, and demonstrate resilience and courage in the face of setbacks and oppositions

Qualifications

Qualifications

Required

  • Three years of experience with medical accounts receivable, insurance claims, or equivalency
  • High School Diploma or equivalency.

Qualifications (Preferred)

Preferred

  • Bilingual language skills may be preferred
  • Medicaid enrollment process
  • Coding certification; CCS, CPC-H, CPC-P
  • Knowledge of CPT , ICD9/10 and DRG codes

Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.

  • This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements

Sitting, Standing