Project Controls Specialist

Job TitleDetermines and assigns patient's payment responsibility for all elective procedures in which the patient is self-pay or has primary commercial insurance, but no secondary coverage. Collects the funds prior to the services being rendered. NOTE: Medicare, Medicaid and First Care patients are not included in the process. Accurately prepares daily deposit. Monthly balancing of Pre-Admit logs with payments collected.ResponsibilitiesEssential Functions:For self-pay patients, collects the total payment during the pre-admissions process minus the self-pay discount.Advises the doctor's office if the patient declines to pay ahead of time, or does not pay as scheduled, in order to reschedule the procedure or complete a deferment if the procedure cannot be rescheduled.Prepares and delivers daily deposit as required.Assist walk-in patients who have simple to complex billing issues and or requests regarding their accounts.Collect the patient's payment and notify the scheduling department that the patient is financially cleared.Contact the insurance company to determine the patient's financial responsibility and create an estimate using the EPIC Patient Estimator.Contact the patient within 7 days of the scheduled procedure date and advise them of their patient responsibility due and offer any financing options available.For patients with commercial/PPO/HMO insurance, research the patient information in Op Time or via emailed requests for elective procedure pricing. For outside physicians, research emailed and faxed Request for Hospital Services forms.Contact the appropriate scheduler to resolve procedure code issues before pricing.Price the procedure, as well as any needed anesthesia, pathology and other ancillary costs for elective surgeries.All other duties as assignedQualificationsExperience Requirements:1 year CPT and ICD-10 coding required3 years working with health insurance companies, verifying benefits required2 years physician billing required3 years customer service requiredUp to 1 year experience working with physicians required1 year collections preferred1 year handling cash and making a daily deposit preferredEducation Requirements:High School Diploma or GED equivalent requiredCollege Diploma preferredOther:Travel Required up to 50%UFJPI is an Equal Opportunity Employer and Drugfree Workplace