Patient Financial Specialist

Job description

Essential Job Functions Conduct comprehensive patient intake by collecting demographic, contact, and insurance information . Execute precise data entry into the Electronic Health Record (EHR) system to ensure seamless downstream billing. Verify active Medicaid coverage and benefits through state portals and real-time eligibility tools. Act as a patient advocate by assisting with Medicaid enrollment, renewals, and the gathering of required documentation (e.g., ID, income verification, and residency proof). Determine Coordination of Benefits (COB) to identify whether Medicaid is the primary or secondary payer. Partner with third-party payers to resolve coverage discrepancies. Provide empathetic, clear explanations regarding Medicaid benefits, eligibility requirements, and billing inquiries. Utilize active listening and probing questions to identify and resolve patient financial concerns. Maintain meticulous patient records in strict accordance with HIPAA , HITECH, and JCAHO regulations. Safeguard corporate and client assets by following all organizational security policies . Key Success Indicators/Attributes: Ability to prioritize and multi-task in a fast-paced, changing environment....