Sliding Fee Specialist

Position Summary: The Sliding Fee Specialist is responsible for reviewing and determining final eligibility for the Sliding Fee Program. The Sliding Fee Specialist is responsible for tracking and communicating errors at the site level and is also responsible for contacting the patients for additional information. In addition, the Sliding Fee Specialist is responsible for identifying Medicaid and Medicare eligibility and reviewing patient accounts for necessary billing adjustments and refunds. The Sliding Fee Specialist also is responsible for participating in ongoing interdepartmental Trainings and other task as assigned by the Sliding Fee Team Lead

Principles Responsibilities:
• Daily auditing and processing of Sliding fee applications.
• Same day approval and processing of faxed Sliding fee renewals from the sites.
• Provides ongoing updates and corrections to Patient Demographics in Athena and entering Alert Notes.
• Responsible for inputting all demographics of sliding fee applicant into practice management system.
• Responds to internal and external calls regarding patient balance.
• Responds to daily emails regarding Sliding fee applications.
• Responsible for keeping accurate files of all sliding fee applications.
• Provides ongoing communication with Richland Care regarding the processing of Richland Care Applications.
• Monthly adjustments and write-offs for all sliding fees from Accounts Receivables.
• Responsible for mailing out correspondence regarding sliding fee renewal and additional information for approval.
• Determines Medicaid Eligibility and other community services.
• Delivers initial training of sliding fee for all new hires.
• Attends workshops, seminars etc. regarding indigent patients and community resources.
• Works closely with outreach coordinator of the sliding fee applications for special contracts.
• Participates in annual audits.
• Performs other duties assigned.

Competencies:
• Ability to embody the mission and vision of Health Care Partners of South Carolina.
• Excellent written and verbal communication and problem-solving skills.
• Ability to communicate with people from a variety of socioeconomic and cultural backgrounds.
• Ability to prioritize, organize and carry out work assignments independently and efficiently.
• Ability to maintain appropriate degree of confidentiality

Education & Experience:
• High school diploma or equivalent required; Associate degree preferred.
• Requires three years' experience in the medical and/or billing field with primary focus in daily clinic billing.
• Additional appropriate education may be substituted for one year of billing experience.
• Must have good decision-making skills and be able to resolve accounting issues.
• Knowledge of CPT & ICD-10 Coding a plus.
• Individuals who are bilingual/bicultural are encouraged to apply.
• Ability to embody the mission and vision of Cooperative Health.
• Excellent written and verbal communication and problem-solving skills.
• Ability to communicate with people from a variety of socioeconomic and cultural backgrounds.
• Ability to prioritize, organize and carry out work assignments independently and efficiently.
• Ability to maintain appropriate degree of confidentiality.
• Proficient in use of computer programs including Word, Excel, PowerPoint.

Physical Demands:
• Prolonged periods sitting or standing
• Must be able to lift up to 25 pounds
• Be able to sit, stand, bend, squat for extended periods of time throughout the day
• Standing or walking for extended periods throughout the day