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SENIOR PATIENT FINANCIAL SERVICES SPECIALIST.

Job Title

SENIOR PATIENT FINANCIAL SERVICES SPECIALIST.

Job Family

Function

CFO

Job Code

30008788

Reports to Job

Business Unit Lead

Job Description Summary

The 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 %

20

Strategic 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

Operational Roles & Responsibilities %

80

Operational Roles & Responsibilities

  • 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 Required

Bachelor degree in Finance, Healthcare Management, or a related field; with relevant Master degree preferred

Professional Certifications Required

None

Years of Experience

Minimum 13 years' experience in Healthcare Financial Services

Languages

English:Fully Proficient ; Arabic:Fully Proficient

Functional Competencies

  • Due Diligence
  • Audit Reporting
  • Data Collection

Core Competencies

  • Excellence
  • Integrity
  • Accountability
  • Cybersecurity
  • Person-Centered Care

Acknowledgement

Please 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 Title

No

Supplemental Work/Experience/Education Information

N/A

Addendum Description

N/A

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