Discover Vanderbilt University Medical Center:  Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization:

PFS Estimates II

Job Summary:

JOB SUMMARY
Calculate, prepare, and communicate estimated patient financial liability (co-pays, deductibles, co-insurance) before medical services are rendered. Act as a critical liaison between patients, clinical departments, and insurance carriers to ensure financial transparency.

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• KEY RESPONSIBILITIES
  • Analyze patient-specific insurance benefits, plan design (tiers, deductibles), and historical data to create accurate, pre-service price estimates for upcoming procedures.
  • Accesses and corrects, if needed, demographic, insurance and financial information.
  • Provides accurate account maintenance and documentation.
  • Serves as a liaison with insurance companies, third party payors, and administrative personnel.
  • The responsibilities listed are a general overview of the position and additional duties may be assigned.
  
  TECHNICAL CAPABILITIES
•  Revenue Cycle (Novice): Experience with EMR systems (e.g., Epic), insurance portals, and medical coding (HCPCS/CPT/ICD-10).
• Understanding of insurance benefit design, copays, deductibles, and co-insurance.
• Ability to communicate complex financial information empathetically to patients.
• Detailed Oriented with high accuracy in data entry to prevent estimation errors

Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.

At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.

Core Accountabilities:

Organizational Impact: Performs non-routine tasks that significantly impact team's performance with minimal guidance. Problem Solving/ Complexity of work: Conducts research and analysis to solve some non-routine problems. Breadth of Knowledge: Applies broad job knowledge and has basic job skills in other areas. Team Interaction: Provides informal guidance and support to less experienced team members.

Core Capabilities :

Supporting Colleagues: - Develops Self and Others: Continuously improves own skills by identifying development opportunities.- Builds and Maintains Relationships: Seeks to understand colleagues' priorities, working styles and develops relationships across areas. - Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner. Delivering Excellent Services: - Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service. - Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns in a timely manner. - Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support. Ensuring High Quality: - Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards.- Ensures Continuous Improvement: Shows eagerness to learn new knowledge, technologies, tools or systems and displays willingness to go above and beyond.- Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department. Managing Resources Effectively: - Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service. - Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources. - Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error. Fostering Innovation: - Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them. - Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action. - Adapts to Change: Embraces changes by keeping an open mind to changing plans and incorporates change instructions into own area of work.

Position Qualifications:

Responsibilities:

Certifications:

Work Experience:

Relevant Work Experience

Experience Level:

4 years

Education:

High School Diploma or GED

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity.  EOE/Vets/Disabled.