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Patient Financial Specialist

Equip

Equip

Accounting & Finance
Remote
Posted on Friday, May 31, 2024
About Equip
Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure that everyone with an eating disorder can access treatment that works. Created by clinical experts in the field and people with lived experience, Equip builds upon evidence-based treatments to empower individuals to reach lasting recovery. All Equip patients receive a dedicated care team, including a therapist, dietitian, physician, and peer and family mentor. The company operates in all 50 states and is partnered with most major health insurance plans. Learn more about our strong outcomes and treatment approach at www.equip.health.
Founded in 2019, Equip has been a fully virtual company since its inception and is proud of the highly-engaged, passionate, and diverse Equisters that have created Equip’s culture. Recognized by Time as one of the most influential companies of 2023, along with awards from LinkedIn and Lattice, we are grateful to Equipsters for building a sustainable treatment program that has served thousands of patients and families.
As a Patient Financial Specialist, you play a key role in assisting patients and their families in understanding their insurance benefits, cost share, payment plans, and any aspects of the patient financial account. Ideal candidates are customer-focused with a strong understanding of insurance coverage and how to review patient billing histories. You should have the ability to multitask in a fast-paced environment. This role will act as a liaison between admissions, insurance companies, the patients/families, and the clinical team.
The right person will have significant demonstrated experience determining insurance benefits with strong verbal and written communication. Tactfully communicating details regarding coverage, benefits, and cost-share with various stakeholders while remaining calm is a critical function of this role. They will be process driven with strong attention to detail. The ideal candidate is comfortable working in a fast-paced startup environment, solving problems independently, and comfortable with ambiguity as systems and processes are still being shaped.

Responsibilities:

  • Understand nuanced coverage criteria by plan and determine in-network eligibility
  • Enter and maintain patient records regarding coverage and coverage changes
  • Respond to inquiries from insurance companies, patients/families, and internal teams
  • Answer patient questions regarding claims coverage and benefits, patient statements, or any other financial inquires
  • Work patient accounts to assure accurate balances regularly
  • Collect and post patient payments, including tracking patient statements.
  • Review accounts for high balances
  • Set up payment plans
  • Comply with all elements within HIPAA and the Privacy Act.
  • Ensures weekly, monthly, and quarterly department goals are met.
  • Represents Equip Health professionally and with a positive attitude.
  • Maintain confidentiality of patient care and business

Requirements:

  • At least 3 years of medical billing/insurance verification or financial counseling.
  • Knowledge and experience with EMR and billing software programs required
  • An understanding of how claims and reimbursements work
  • Maintains good work habits, attendance and punctuality.
  • Strong, professional communication and interpersonal skills with patients, clients, insurance companies, and internal team members
  • Familiarity with HIPAA privacy requirements for patient information and ability to maintain and protect confidential information
  • Effective communication skills both verbal and written.
  • Ability to work independently.
  • Ability to problem solve.
  • High School Diploma or GED.
  • Excellent proficiency with Microsoft Office Suite and Internet.
  • Excellent customer service.

Bonus if you have the following:

  • Direct customer facing roles
  • Telehealth experience, especially across multiple states
  • Experience working in a remote environment
  • Previous experience working in a healthtech startup
  • Passion for mental health and eating disorder treatment and expanding access to treatment
Physical Demands
Work is performed 100% from home with no requirement to travel. This is a stationary position that requires the ability to operate standard office equipment and keyboards as well as to talk or hear by telephone. Sit or stand as needed.
At Equip, diversity, equity, inclusion and belonging are woven into everything we do. At the heart of Equip’s mission is a relentless dedication to making sure that everyone with an eating disorder has access to care that works regardless of race, gender, sexuality, ability, weight, socio-economic status, and any marginalized identity.
As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability, and/or any other legally protected classification protected by federal, state, or local law.