Revenue Cycle Financial Specialist

The Revenue Cycle Financial Specialist is responsible for collecting and verifying demographic, guarantor, and insurance information, and for educating patients, physicians, and staff on the financial process. This role ensures that preauthorizations/referrals and precertifications are completed in accordance with payor requirements prior to the scheduled encounter. Work closely with clinical staff to acquire necessary clinical information to complete the authorization process. Manage the process of aiding patients and their representatives with securing reimbursement for Hospital and Physician services provided. Assist patients in identifying and selecting an available option for insurance coverage and/or financial assistance. Work collaboratively with patients, UCM coverage vendors, clinical staff, Patient Financial Services, Ambulatory Patient Financial Specialists, urban health collaborative, and case management/social work. Manage all patient account types, including outpatient, inpatient, ED, and UCPG, while maintaining a thorough knowledge of the hospital's revenue cycle process. Understand the hospital's inpatient/outpatient treatment policies and how they relate to each patient situation. Coordinate and monitor the flow of revenue generated by UCMC and UCPG. This position involves extensive utilization of the hospital's revenue systems and constant interaction with patients, physicians, insurance companies, donors, and other members of the hospital staff. Perform all registration functions: interview patients via telephone or face to face to collect demographic, guarantor, insurance and financial data required. Prioritize work based on appointment date to ensure everything is completed prior to the patient arriving at UCM.