Estimation Specialist

Arkansas Urology

Date: 3 weeks ago
City: Little Rock, Arkansas
Contract type: Full time
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Description

Estimations Specialist

Key Responsibilities

  • Cost Estimation & Analysis: (TOS Pre-Service)
  • Responsible for monitoring the patient cases assigned for an estimate request along with monitoring the appointment report for missed cases.
  • Provide accurate, timely, and comprehensive cost estimates for patients based on their insurance coverage and the services they will receive. (i.e. In-Office Procedures such as cancer injections, medications, radiology, office procedures)
  • Work closely with clinical teams and billing departments to ensure estimates are precise and align with the patient’s care plan.
  • Ensure that patients are informed of potential out-of-pocket costs and payment expectations through the delivery of estimate paperwork via the necessary tools within the EMR or other Estimations tools and Software (i.e. Rivet)
  • Pre-Visit Collections
  • Collect payments of all pre-surgery deposits and full estimates ahead of their scheduled procedure at CSC, Hospital; notify clinics of any unpaid amounts that would be collected at the time of service.
  • Collect payments of all estimates provided to patients prior to scheduled services at AU clinics; notify clinics of any unpaid amounts that would be collected at the time of service.
  • Collect any outstanding balances as required per AU’s Collections policy
  • Pre-Visit Analysis
  • Review upcoming appointment reports for outstanding balances through a Pre-Financial Balance report
  • Discuss payment options to resolve outstanding balances
  • Collaborative Support: (TOS Pre-Service)
  • Work closely with the billing, insurance, and financial assistance departments to ensure seamless service for patients.
  • Collaborate with other team members and clinical teams to ensure accurate data entry, processing of estimates, and resolution of any financial-related issues.
  • Patient Education: (TOS Pre-Service)
  • Provide education to patients regarding their financial obligations and help them understand their rights and options. Offer reassurance and support to ease patient stress surrounding financial concerns.
  • Serve as a point of contact for clarifying cost estimations for patients, insurance companies, and external stakeholders, ensuring a clear understanding of financial responsibility.
  • Technology Use
  • Utilize healthcare software tools and systems (such as Electronic Health Records (EHR), billing systems, and estimating platforms) to automate and enhance the estimation process.

Required Qualifications

  • Minimum of 2 years of experience in healthcare billing, financial services, or a similar role.
  • Strong knowledge of healthcare insurance plans, billing practices, and financial assistance programs.
  • Exceptional customer service skills with the ability to communicate complex financial information in a clear and compassionate manner.
  • Experience with healthcare software systems (e.g., EHR, patient billing systems) and Microsoft Office Suite.
  • Strong problem-solving abilities and attention to detail.
  • Ability to work in a fast-paced environment while maintaining a high level of accuracy.
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