Price Transparency Specialist

Job Description

This position is providing accurate estimated out-of-pocket expenses for patients seeking and receiving services in a Providence. This includes educating patients on benefit information and assisting patients with self pay balances and balance after insurance amounts. Must maintain up-to-date knowledge of and competency with numerous Federal, State and other regulatory body compliance regulations and third party insurance plans.

Responsibilities:

• Ensuring price estimate quotes are accurate to enhance the patient experience
• Providing excellent customer service to patients, providers and members of the Providence St. Joseph community
• Maximization of cash flow by providing and collecting on complex out of pocket expenses prior to service
• Ensuring compliance requirements are met
• Expert knowledge of the EPIC Price Estimates tool

Required Qualifications:

• 4 years overall experience in integrated healthcare system in any aspect of access services, financial counseling, upfront collections, insurance or related position.
• 3 years demonstrated experience in: Working knowledge of Patient Financial Services processes with emphasis on calculating and collecting patient financial liability including, deductibles, co-pays, co-insurance, and out of pocket maximum.
• Proven history of proactively identifying, resolving and escalating issues that impact business outcomes.
• A track record showing good decision-making skills based upon a mixture of analysis, experience, and judgment.
• A track record in organizing and planning with demonstrated ability to effectively manage time and achieve results in a fast-paced environment.
• Preferred Qualifications:
• Bachelor's Degree in Healthcare related field. Or equivalent education/experience.
• Certified Healthcare Access Associate upon hire.
• Medical terminology, data entry and computer experience, prior financial counseling, upfront collections and working with public.
• Epic Healthcare Systems experience.
• Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Us

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.