Shire Jobs

This role is responsible for providing financial support to include- financial assistance application assessment and approval, HPE Medicaid application, pre service estimates, pre service insurance eligibility review, out of pocket review, payment plans to include debt to income assessment, drug co pay assistance and provide a resource for onsite billing questions, international patient billing review, pre-payments, provide backup support for the Medicaid Referral Process, and support the supervisor by providing back up for reports and team needs.

* Please be aware, this job posting is exclusively available for team members transitioning from Community Health to UVA Health. Only those within this group are eligible to apply. Thank you for your understanding! *

• Provide optimum face to face service for all patients needing assistance

• Facilitates referrals to Medicaid as applicable

• Completes and approves/denies Financial Assistance Applications/ Epic/Onbase

• Perform insurance reviews for eligibility for hospital and professional services

• Provides estimates, out of pocket requirements, copayment and co insurance, payment plans, D/I review

• Support drug co pay application completion / set up drug coverage in EPIC

• Use Cyracom translation devices for all patients requiring translation services

• Review patient bills and provide resolution or provide connection to a resource able to address the issue.

• Take pre payments as well as payments towards payment plans, sets up payment plans

• Review daily EPIC reports and work queues to provide financial follow up

• Updates EPIC and reviews flags, guarantor, registration, insurances and appropriate billing indicators

• Adheres to contractual guidelines and accepted payer guidelines

• Makes every effort to minimize loss of reimbursement, denials or delays. Analyzes denials when needed to determine root cause.

• Review International patients and set up pre-payment prior to treatment per MC Policy

• This is a multi-location department and it is the expectation that all team members will be able to support the multiple location tasks and are able to comfortably work in all locations.

Position Compensation Range: $19.88 - $30.81 Hourly

MINIMUM REQUIREMENTS

Education: High School or equivalent required. Bachelor’s Degree preferred.

Experience: 4 years relevant experience in customer service and extensive use of desktop computers and applications and 1 year departmental experience required.

Licensure: None.

PHYSICAL DEMANDS

This is primarily a sedentary job involving extensive use of desktop computers. Patient facing and seated most of the day.

The University of Virginia, i ncluding the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician’s Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex, pregnancy, sexual orientation, veteran or military status, and family medical or genetic information.