Employment Type:

　　Full time

　　Shift:

　　Description:

　　Why Mount Carmel?

　　With five hospitals (https://www.mountcarmelhealth.com/find-a-location/) , over 60 free-standing outpatient clinics (https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and community wellness programs, Mount Carmel Health System (https://www.mountcarmelhealth.com/) serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years. As a proud member of Trinity Health (https://www.trinity-health.org/) , one of the nation's largest Catholic healthcare delivery systems, our network of caring spans 22 states, 94 hospitals, and 133,000 colleagues nationwide.

　　We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing.

　　What we offer:

　　Competitive compensation and benefits packages including medical, dental, and vision coverage

　　Retirement savings account with employer match starting on day one

　　Generous paid time off programs

　　Employee recognition incentive program

　　Tuition/professional development reimbursement

　　Relocation assistance (geographic restrictions apply)

　　Discounted tuition and enrollment opportunities' at the Mount Carmel College of Nursing

　　Mount Carmel offers DailyPay - if you’re hired as an eligible colleague, you’ll be able to see how much you’ve made every day and transfer your money any time before payday. You Deserve To Get Paid Every Day!

　　Why Columbus?

　　The nation's 14th largest city, Columbus, Ohio is one of the fastest growing major metropolitan areas in the Midwest – ranked #1 for population growth, #1 for job growth, #1 for wage growth, and #1 real estate market. And with a vibrant blend of professional sports, world-class attractions, creative cuisines, and a flourishing music and arts scene, you'll never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at www.experiencecolumbus.com !

　　About the job:

　　The Patient Financial Specialist II: Pre-determines, notifies patient and collects patient financial responsibility on any service prior to date of admission. Investigates confidential patient financial data for purposes of determining patient responsibility and/or qualification for financial assistance. Functions as a liaison between physician, office staff, insurance companies, patients and hospital in obtaining vital financial information. Analyzes and makes corrections as necessary in STAR Patient Care, STAR Patient Accounting and Pathways Healthcare Scheduling systems. Performs advanced verification of insurance, pre-certification, and benefit determination.

　　Job Qualifications

　　Education: High School Diploma or GED required; Associates Degree in Healthcare Administration, Business Administration, or related field preferred

　　ODJFS Certification preferred.

　　Minimum of three years experience in a physician's office, clinic, hospital business office, or related area dealing with the public in collection of data and funds.

　　Demonstrates working knowledge and understanding of both governmental and private third-party payor benefits, requirements and regulations.

　　Demonstrates working knowledge of ICD-9 and CPT coding and medical terminology.

　　Demonstrates excellent verbal and written communication skills.

　　Requirements/Qualifications

　　Demonstrates use of good judgment when dealing with patients, physicians and clinical staff.

　　Demonstrates the ability to effectively and assertively communicate and negotiate financial obligations and resolve patient inquiries with minimal supervision.

　　Promptly answers the telephone and appropriately acknowledges, greets, and assists all customers.

　　Determines and collects patient financial responsibility utilizing all resource tools available.

　　Acts as liaison with all internal and external customers and facilitates problem resolution.

　　Analyzes and investigates all referrals for inpatient and outpatient admissions as requested by PFS I Associate.

　　Demonstrates the ability to diffuse and handle difficult situations.

　　Responsible for ensuring all medical necessity regulatory requirements are followed.

　　Completes advanced insurance verification, pre-certification and benefit determination and communicates insurance requirements to physician offices, patients and hospital departments.

　　Manages, directs, updates and monitors all patient referrals to FirstSource to determine Medicaid/government assistance eligibility before payment obligations are pursued.

　　Monitors and completes statistical reports related to collection of patient responsibility to meet department goals.

　　Discovering opportunities, support and excellence – all while making a real difference in patients’ lives – begins at Mount Carmel. Find a new beginning and advance your career with us.

　　Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law.

　　Our Commitment to Diversity and Inclusion

　　Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

　　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.

　　EOE including disability/veteran