PATIENT FINANCIAL & AUTHORIZATION SPECIALIST I

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  REQUIRED:

   

  ·         High school diploma/GED required;

   

  PREFERRED:

   

  ·         Relevant healthcare education/certification may be preferred

  
  
   

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  REQUIRED:

   

  ·         0–2 years relevant experience or equivalent combination

   

  PREFERRED:

   

  ·         Direct healthcare/patient access/insurance

   

   

  
  
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  Knowledge / Skills

   

  REQUIRED:

   

  ·         Basic insurance, scheduling, patient financial and medical-office concepts

   

   

   

  PREFERRED:

   

  ·         Prior work with third-party billing agency

  
  
   

• This is a safety sensitive position. Please see the St. Bernards Substance Abuse Policy for further information. Normal hospital environment. Close eye work. Hearing within normal range. Operates computer, typewriter, calculator. Finger dexterity. Eye-hand coordination. Frequent sitting, standing and walking. May lift and carry up to 35 lbs.
  
   

Coordinates and performs patient access, insurance verification, procedure preauthorization, scheduling, checkout, patient financial, charge processing, payment reconciliation, and billing coordination activities for the Hand and Wrist Center. Obtains, submits, tracks, follows up on, and resolves procedure authorizations within established workflows; verifies insurance benefits and payer requirements; coordinates established, postoperative, and preadmission testing appointments; reviews patient financial obligations; collects and processes payments; and supports outstanding balance activity in coordination with the third-party billing team. Maintains accurate payment and charge documentation, balances the cash drawer, completes assigned audits, and collaborates with clinical staff, patients, payers, the business office, and external billing partners to support accurate documentation, timely reimbursement, and an efficient patient experience.