Overview

Financial Case Management Representative (Admissions) Job at Sheppard Pratt – Towson – in Baltimore, MD

As a Financial Case Management Representative (Admissions) you:

Gather, track, and communicate financial and insurance information for an assigned caseload of patients/clients and their representatives in order to inform treatment team of third party requirements that impact treatment plan, maximize prompt collection for services, and prevent bad debt.

Explain financial requirements to patient or responsible party and collect deposits and applicable deductibles.

Serve as contact and resource for financial issues for the patient and/or their representative during the patient’s stay/care.

Research and verify all insurance benefits assigned to health system.

Track patients’ status as it relates to third party coverage and keep treatment team apprised of status.

Requires:
High School Diploma/GED and at least 6 months of experience in related admission/registration or billing/collections work (i.e. knowledge of health insurance terminology, plan coverages and carriers, third party reimbursement procedures, grant-in-aid, financial agreements and forms, etc.).

Strong communication and interpersonal skills in order to communicate with patients and their families/representatives and third-party payers in collecting and explaining financial/insurance information and Health System policies, obtaining patient’s/representative’s commitment to their financial obligation for clinical care to be provided, and ability to compose and proof business correspondence.

Must demonstrate analytical ability to determine financial status of patients, identify problem accounts, and investigate and identify patients’ available benefit days/visits and remaining financial commitment.

Prompt in investigation, verification, and communication of third party coverage and requirements; attention to detail; use of computer terminal and document imaging system; and ability to follow up on various financial management issues prior to patients’ discharge.

About the Company

Company: Sheppard Pratt – Towson –

Company Location:  Baltimore, MD

Estimated Salary:

About Sheppard Pratt - Towson -