JOB DESCRIPTION

Financial and Insurance Specialist

Job Summary:

The Financial and Insurance Specialist is responsible for the running of insurance eligibility and contacting patients who have an insurance that is not active or not running in our system. Financial and Insurance Coordinator are the patient’s point of contact for financial assistance and insurance questions. The Financial and Insurance Coordinator sets up payment arrangements as appropriate, advises patients in person and over the phone on their insurance coverage or lack thereof. They will also meet patients to do annual financial consults to update their yearly paperwork. As well as work on Prior Authorization in the clinic.

Independent judgement and decision making is required to address the full range of tasks and responsibilities. The position requires the ability to plan, schedule and organize numerous tasks that directly impact the clinic and the patient’s ability to obtain medical care.

Responsibilities:

Maintains a sense of calm and remain composed while dealing with sensitive patient issues

Updates insurance records and financial consults

Maintains the strictest confidentiality following HIPPA and APO policy and procedures

Attends scheduled meetings as needed

Performs data entry and scanning of data

Attends training when required or requested by their direct supervisor

Attends APO required functions

Serve as the point of contact for all financial assistance questions (when appropriate)

Setting up of payment plans with patients

Assess the current insurance situation of patients, serving as the technical expert in confirming patient’s insurance eligibility.

Be able to explain the sliding fee scales APO has in place

Communicate professionally and timely with internal and external customers

Provide helpful assistance in anticipating and responding to the needs of our patients

Work with nursing staff to address Prior Authorizations

Other duties as assigned

Job Requirements:

HS diploma or GED

One to two years of experience in the health care field, preferably with insurance, financial, and prior authorizations capabilities

Have a understanding of Medicaid and Medicare

Must be proficient in Word and Excel

Must be organized and a multi tasker

Must have experience with an EMR (Electronic Medical Record)

Must possess excellent communication & data entry skills

Must be autonomous and get work done on a daily basis with minimal supervision

Must have an aptitude and willingness to lean new responsibilities

Willingly accepts feedback

Flexible and innovative

Ability to problem solve and work independently

Physical Requirements:

Prolonged periods of sitting at a desk and working on a computer and standing, bending and moving.

Must be able to lift up to 15 pounds at a time

The ability to complete assignments in all types of weather

May be exposed to patients with infectious disease

Hours of duty are normal office hours with occasional evening and weekend tasks.

APO is a non-profit community based organization serving a 29 county region in southwest Missouri. APO currently serves over 700 clients living with HIV/AIDS and their families. Concerned families and friends established the organization as a grass roots entity in 1983. Services include: medical care, case management, education to the general public, and services to person living with HIV infections, their families and significant others in a confidential, caring environment. We also offer primary medical care to those who are not living with HIV in a safe inclusive environment.

Job Type: Full-time

Salary: From $16.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Schedule:

• Monday to Friday

COVID-19 considerations:

Masks are worn during all face to face interactions with clients. COVID vaccines are required for all employees.

Please submit resumes to jason.allen@apo-ozarks.org