Competitive Pricing Analyst jobs in Clearwater, FL

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

Summary:

• The Central Pricing Office Analyst is responsible for working Soarian and Trace worklists, to include customer requests for price estimates received via phone and the online web form.
• Entails obtaining and verifying patient/customer insurance benefits with all managed care and uninsured plans.
• Determines the appropriate clinical procedure, CPT or DRG code for the patient's service, calculates patient/customer financial responsibility using calculation tools, provides estimates directly to patients/customers, documents the financial information in the patient accounting system or other tracking tools, and identifies registration errors and other issues and coordinate with other departments to get information corrected.
• Work with onsite team members to provide assistance and communication regarding estimates.
• Responsibilities also include handling inbound and outbound calls in a timely manner, following call center scripts, resolving customer issues, maintaining a positive, empathetic and professional attitude toward customers at all times, utilizing effective listening skills, asking pertinent questions, confirming facts with the customer, and educating customers as needed on their benefits and price estimates.
• Perform other duties as assigned.
• Requirements include Bachelors Degree with 3 years of Patient Financial Services on one of the following; HIM, Coding, Patient Accounts, or Patient Registration (with a focus on providing benefits and estimates); or High School Diploma with 7 Years of Patient Financial Services on one of the following; HIM, Coding, Patient Accounts, or Patient Registration (with a focus on providing benefits and estimates).
• Must have a detailed understanding of insurance benefits and specific employer coverage.

Minimum Qualifications:

BayCare Health System, Central Pricing Office-BCHS

Location: Clearwater

Status: Full Time, Exempt: No

Shift Hours: 8:30a-5:00p

Shift: Days

Weekend Work: None

On Call: No

Does this position fall under CMS guidelines for COVID19 vaccine or exemption?: Yes - CMS Requirements Apply

Equal Opportunity Employer Veterans/Disabled