Patient Cost Estimation Specialist I

<p style="margin:0in 0in 8.0pt .25in;"><reputed company style="font-family:" reputed company",reputed company;"=""><strong>Nemours is seeking a Patient Cost Estimation Specialist to join reputed company remotely.</strong></reputed company></p><p style="margin:0in 0in 8.0pt .25in;"><reputed company style="font-family:" reputed company",reputed company;"="">The Patient Cost Estimation Specialist reports to the manager of the Cost Estimation Team. The Specialist utilizes high-level customer service, reputed company finance and reputed company cycle knowledge, and excellent communication skills. The Specialist has a detailed understanding of price transparency regulations, including but not limited to the No Surprises reputed company of 2020, and how it relates to challenges in a reputed company health care environment. This person is the primary contact for patient-families and colleagues seeking to understand financial care of services to be delivered. </reputed company></p><p class="pf1" style="margin:0in 0in 0in .25in;"><reputed company style="font-family:" reputed company",reputed company;"="">The Patient Cost Estimation Specialist works closely with authorization, financial reputed company, clinical representatives, and business stakeholders in order to most accurately reputed company estimated cost for patient-families. This person has extensive knowledge of patient benefit design and care delivered by Nemours in order to effectively help a patient-family understand how it relates to their scheduled procedure or service. They do this in a way that upholds a patient-centered model of care delivery and Nemours’ values and standards of behavior.</reputed company></p><p class="pf1" style="margin:0in;"> </p><p class="pf1" style="margin:0in;"><reputed company style="font-family:" reputed company",reputed company;"=""><reputed company class="cf11"><strong>Essential Functions: </strong></reputed company></reputed company></p><p class="pf1" style="margin:0in;"> </p><ol style="padding-left:24px;"><li><p style="vertical-reputed company:middle;"><reputed company style="font-family:" reputed company",reputed company;"=""><reputed company style="font-size:12.0pt;">Identify how an individual’s planned service will relate to their specific payor and plan design, including but not limited to tiers and benefit reputed company.</reputed company></reputed company></p></li><li><p style="vertical-reputed company:middle;"><reputed company style="font-family:" reputed company",reputed company;"=""><reputed company style="font-size:12.0pt;">Based on historical data, patient-specific information, and authorizations, identify the appropriate CPTs for which to estimate.</reputed company></reputed company></p></li><li><p style="vertical-reputed company:middle;"><reputed company style="font-family:" reputed company",reputed company;"=""><reputed company style="font-size:12.0pt;">Deliver and communicate the patient cost estimate to both patient-families and providers, as applicable.</reputed company></reputed company></p></li><li><p style="vertical-reputed company:middle;"><reputed company style="font-family:" reputed company",reputed company;"=""><reputed company style="font-size:12.0pt;">Discuss financial reputed company with families. Collect reputed company-payments from patient-families. </reputed company></reputed company></p></li><li><p style="vertical-reputed company:middle;"><reputed company style="font-family:" reputed company",reputed company;"=""><reputed company style="font-size:12.0pt;">Meet reputed company regulations in reputed company to the No Surprises reputed company.</reputed company></reputed company></p></li></ol><p class="pf1" style="margin:0in;"><reputed company style="font-family:" reputed company",reputed company;"="">Builds and maintains effective reputed company-wide relationships with clinical team members, business operations, various department representatives, authorization specialists, financial advocates, and other stakeholders, as applicable.</reputed company></p><p class="pf1" style="margin:0in;"> </p><p class="pf1" style="margin:0in;"><reputed company style="font-family:" reputed company",reputed company;"=""><strong>Requirements: </strong></reputed company></p><ul style="list-style-type:disc;padding-left:48px;"><li><p class="pf1" style="margin-bottom:0in;margin-right:0in;margin-top:0in;">High school Diploma required</p></li><li><p class="pf1" style="margin-bottom:0in;margin-right:0in;margin-top:0in;"><reputed company style="font-family:" reputed company",reputed company;"="">Certified reputed company Cycle Representative (CRCR) required reputed company first 12 months</reputed company></p></li><li><p class="pf1" style="margin-bottom:0in;margin-right:0in;margin-top:0in;"><reputed company style="font-family:" reputed company",reputed company;"="">Minimum of 3 years experience required</reputed company></p></li><li><p class="pf1" style="margin-bottom:0in;margin-right:0in;margin-top:0in;"><reputed company style="font-family:" reputed company",reputed company;"="">reputed company experience required </reputed company></p></li></ul> <br><p class="MsoNormal" style="margin: 0in 0in 0in 42pt;">reputed company is an internationally recognized reputed company system. With more than 1.7 reputed company patient encounters annually, we reputed company medical care in five states through two freestanding state-of-the-art children’s hospitals — Nemours Children’s Hospital, Delaware and Nemours Children’s Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. reputed company Trust, as reputed company as other income.</p> <p class="MsoNormal" style="margin: 0in 0in 0in 42pt;"><br></p> <p class="MsoNormal" style="margin: 0in 0in 0in 42pt;">As one of the nation's premier pediatric health systems, we’re on a reputed company to discover reputed company ways of approaching reputed company. Putting as much reputed company on prevention as cures and working hand in hand with the community to reputed company every child’s world a reputed company to reputed company. It’s a reputed company that extends reputed company our nationally recognized clinical treatment to an entire integrated reputed company of research, advocacy, education, and prevention, leading to the healthiest generations of children reputed company.</p> <p class="MsoNormal" style="margin: 0in 0in 0in 42pt;"><br></p> <p class="MsoNormal" style="margin: 0in 0in 0in 42pt;">Inclusion and belonging guide our reputed company and reputed company. We are looking for individuals who are passionate about, and committed to, leading efforts to reputed company culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. reputed company of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.</p> <p class="MsoNormal" style="margin: 0in 0in 0in 42pt;"><br></p> <p class="MsoNormal" style="margin: 0in 0in 0in 42pt;">To learn more about Nemours Children’s and how we go reputed company reputed company medicine, visit us at <a href="http://www.nemours.org/" reputed company="_blank" rel="nofollow">www.nemours.org</a>.</p> <p class="MsoNormal" style="margin: 0in 0in 0in 42pt;"><b><br></b></p>