Patient Financial Coordinator | Columbia University - Military Veterans

at HERC - Metro New York & Southern Connecticut

New York, New York

Job Type: Officer of Administration Regular/Temporary: Regular Hours Per Week: 35 Position Summary Columbia University Fertility Center (CUFC) is excited to announce a search for a dedicated and compassionate individual to join our team as a Patient Financial Coordinator (PFC).  This position acts as a crucial member of our patient care teams to coordinate the financial aspects of the patient's care, while working together with our other dedicated team members in creating a positive and memorable patient experience. The PFC ensures that patients are well educated about the financial and insurance aspects of their care, and that steps are taken by the practice to ensure that proper payment is received from the patient or the patient's insurance company on a timely basis. The PFC serves as a resource to patients regarding financially-related matters such that they are accessible to patients for ongoing questions regarding this aspect of their care. Responsibilities Perform insurance verification for new patient's appointment and prior to the start of any fertility treatment cycle. Ensure demographic information and insurance information have been correctly entered into the EMR Communicate with patients as the patient's primary point of contact for all financially-related matters during their course of care. Review patient's insurance coverage that exists in their insurance policy or policies, should the patient have primary and secondary coverage. Explain to the patient the practice's guidelines and policies for Patient Financial Services. Address any discrepancies between the patient's understanding of their insurance coverage. For each patient assigned to the team, know the pre-certification requirements of the patient's insurance policy and payer. Identify all instances where pre-certification is required of any infertility diagnostic service and infertility treatment service and perform such pre-certifications or pre-authorizations. Determine patient responsibility amounts based on the pre-certification performed. Communicate with the patient via phone or secure electronic messaging the patient responsibility amount to be paid in advance of the related procedure. Ensure that signed financial consents and agreements have been reviewed and signed with the patient. Identify patients who will be proceeding with ART care. Provide a Financial Consult, explaining to the patients the expected coverage from their insurance company, if any, and the amount that will be patient responsibility. Collect related patient responsibility amounts. Determine patients for whom funds have and have not been collected for care to ensure that the Primary Physician is consulted regarding any patient who is approaching the beginning of care but has not paid their patient responsibility. Perform audits for patients completing treatment cycles. Serve as a Patient Advocate for patients when patients have difficulty navigating with their insurance company. Respond to all patient inquiries, via either phone, email or in person, regarding their account and insurance related matters. Serve as a resource to Physicians, Nurses and Patient Care Coordinators regarding any possible impact insurance coverage limitations may have on the patient's care plan. Serve as a resource to Patient Account Representatives performing Financial Review, when questions arise regarding specific patient's accounts. Attend scheduled team meetings as an active and contributing participant in the Patient Care Team. Other duties as assigned.   Minimum Qualifications Requires a bachelor's degree or equivalent in education and experience, plus two years of related experience. Ability to work independently with minimal supervision. Candidate must have comprehensive knowledge of medical terminology and coding (ICD-10 codes). Working knowledge of Microsoft Office products, specifically Excel. Minimum of 2 years' experience with insurance verification and/or insurance authorizations. Previous experience with direct patient contact/coordination/scheduling.   Preferred Qualifications Minimum of 2 years' experience working in a fertility center. Knowledge of EPIC and other electronic medical records. Equal Opportunity Employer / Disability / Veteran Columbia University is committed to the hiring of qualified local residents.        

New York, New York

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