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Pricing Service Support Specialist/Full Time/Hybrid Troy

Henry Ford Health System
United States, Michigan, Troy
Jan 10, 2025
Under general direction, the CBO Pricing Services Support Specialist is responsible for supporting the Pricing Services Department in daily operating procedures for all patient estimate activities. Identifies and determines in accordance with established policies and procedures the accuracy and completeness of insured and uninsured patient estimates. Performing coverage eligibility and cost share to ensure patient responsibility is accurate prior to service. PRINCIPLE DUTIES AND RESPONSIBILITIES: * Work efficiently and effectively through assigned work queues, email and phone work following standardized work procedures. * Meet established productivity and efficiency expectations. * Correctly use tools and resources available to resolve estimates issues. * Verifying and adding insurance coverage to estimate patient cost share. * Assist all internal and external customers in a professional manner. * Responsible for timely responses to all estimate inquiries to assist customers in understanding their estimated responsibility. * Assists with training and mentoring new team members. * Provides accurate data collection to efficiently calculate pricing for patients, prospective patients, and internal customers. * Provides accurate detailed information to patients, prospective patients, and internal customers. * Assist patients with pricing questions. * Completes all necessary follow-up related to pricing inquiries. * Creates and/or documents necessary price estimation documents per protocol. * Communicates effectively with patients, prospective patients, and internal customers. * Maintains knowledge of current computer updates and insurance information. * Maintain knowledge of CBO policies and procedures. * Follows standard operating procedures for pricing policies. * Assists with special projects and performs other related duties as assigned. * Understanding of the revenue cycle and the responsibility and goals of each area and how they impact the revenue cycle. * Supports the standards set forth in the HFH code of Conduct by adhering to legal and ethical standards. * Knowledge of applications used in the revenue cycle process related to patient billing EDUCATION AND EXPERIENCE: High school diploma or equivalent required. College course work in accounting, business, or healthcare administration, preferred. One-year prior experience in a healthcare revenue cycle position, required. Intermediate knowledge of Microsoft suite products preferred. Excellent work quality and quantity. Excellent communication skills. Required to perform calculations, complete estimates, extensively utilize computer information system. Proficiency in Excel, strong math skills. Familiarity with clinic and/or hospital system environment preferred. Demonstrated ability to work with detailed information. Demonstrated ability to adjust to changes in policy and procedures. Requires interpersonal skills to deal effectively both over the telephone patients, prospective patients, clinic and/or hospital personnel. Ability to perform a variety of tasks in a timely manner to meet customer needs. Ability to discuss with patients their general financial responsibilities and connect the patient with the customer service center at the Corporate Business Office. Ability to work successfully in a fast-paced environment with frequent interruptions. Ability to work within a team setting and be supportive of team members. Successful completion of yearly competencies. Experience in a healthcare setting in a customer facing environment, preferred. Experience with medical billing and reimbursement preferred. Additional Information Organization: Corporate Services Department: CBO - Self Pay Shift: Day Job Union Code: Not Applicable