Description
MEDICAL FINANCIAL ASSISTANCE SPECIALIST
Duration: 4-month contract (W2) - may be extended, may convert
Location: Rockville, MD 20852
Job Number: 50623
Client: One of the country's largest health care and health plan providers
Pay Rate: $17/hr
Standard Work Hours: M-F 8:00am - 4:30pm
Purpose and Description:
- Coordinates all Medical Financial Assistance Patient Financial Services activities to support the Charity Care program.
Essential Functions:
- Works with Case Management, Member Services, MARS Representatives, and PFS Manager/Director to identify and obtain all financial and related documents for Medical Financial Assistance (MFA) application
- Prepares all MFA case files for determination review. This includes, but is not limited to, credit reports, tax forms, pay stubs, bank statements, disability forms, SSA forms, pension/annuity forms, applications, etc
- Responds to requests for additional information
- Manages all approved/denied MFA cases once approved or denied by the Patient Financial Services Director or Management designee
- Mails all correspondence including, but not limited to, approval letters, denial letters, and requests for additional information
- Runs Reports via two vendors to verify credit and Federal poverty level for all patients who apply for MFA
- Follows-up and adjusts patient accounts in HealthConnect weekly to direct charity care dollars appropriately, relieving the patient's accounts receivable liability as appropriate - includes writing off charges associated with MFA patient accounts
Required Skills: (Must Have - list on resume) (candidates without them will be rejected)
- High school diploma or GED
- 1 year experience researching and validating commercial primary insurance, health care billing, and collections
- Charity care experience
- 1 year patient account management experience including charges, payments, credit/debit analysis
- 2 years customer service experience
- Experience in Microsoft Office suite
- Must be able to multi-task, must have strong attention to detail
- Effective communication skills
Preferred Experience: (Nice to Have - list on resume if you do)
- 3 years customer service experience
- Knowledge of Epic suite of applications, Resolute, Prelude, Cadence, EpiCare
Interview Steps and Information: Phone and then face-to-face, both with manager