Job TitleSENIOR PATIENT FINANCIAL SERVICES SPECIALIST.Job FamilyFunctionCFOJob Code30008788Reports to JobBusiness Unit LeadJob Description SummaryThe Senior Patient Financial Services Specialist reviews and approves daily reconciliation reports, oversees complex eligibility and coverage issues, guides on special cases reduced payment and medical discounts, provides direct and indirect assistance to patients regarding financial responsibilities, and insurance coverage. This includes explaining charges, payment expectations and patient share copayment, and front line cash and Tax invoicing , cash collection and processing refunds, guides patient through available payment options and installment plans to ensure patient satisfaction and efficient financial services.Strategic Roles & Responsibilities %20Strategic Roles & Responsibilities
Ensure patient financial services and eligibility processes comply with relevant regulations and standards
Implement and review policies and procedures to maintain compliance and collaborating with legal and regulatory teams to address any potential issues
Mentorship on providing support to patients regarding their financial responsibilities and insurance coverage
Collaborate and foster open and candid communication with various departments such as preauthorization billing collections and insurance to ensure a seamless and compliant financial services experience Perform regular monitoring the internal and external referrals for efficiency
Oversee and manage cases involving reduced payments and medical discounts ensuring patients receive the necessary financial assistance
Resolve and manage or escalate complex financial issues and coverage discrepancies
Review and approve daily reconciliation reports and maintain detailed reconciliation records to ensure accuracy and completeness of financial transactions
Develop and implement procedures for handling financial adjustments and evaluate the effectiveness of financial assistance programs
Collaborate with other departments as required and prepare management reports to support informed decisionmaking
Minimum Education RequiredBachelor degree in Finance, Healthcare Management, or a related field; with relevant Master degree preferredProfessional Certifications RequiredNoneYears of ExperienceMinimum 13 years' experience in Healthcare Financial ServicesLanguagesEnglish:Fully Proficient ; Arabic:Fully ProficientFunctional Competencies
Due Diligence
Audit Reporting
Data Collection
Core Competencies
Excellence
Integrity
Accountability
Cybersecurity
Person-Centered Care
AcknowledgementPlease note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.Addendum TitleNoSupplemental Work/Experience/Education InformationN/AAddendum DescriptionN/A
