The primary responsibility of the Estimate Specialist is to generate precise cost estimates for medical procedures and services, taking into account insurance coverage, facility pricing, and patient-specific details. This role promotes transparency and empowers patients to make well-informed decisions regarding their healthcare expenses.

Key Responsibilities

Utilize the EPIC electronic health record system to calculate patients' out-of-pocket costs for upcoming procedures or radiology services.
Determine deductibles, coinsurance, copays, and out-of-pocket maximums for scheduled services.
Communicate with patients via patient portals, email, text, and phone calls to provide estimates and payment information.
Document out-of-pocket amounts in EPIC to ensure registrars are aware of payments due before services are rendered.
Collect payments prior to procedures.
Prepare estimates for high-cost radiology services, surgeries, and office procedures.
Adapt to a fast-paced, dynamic environment while prioritizing tasks and fostering solutions.
Model professional standards of behavior and support team compliance.
Maintain confidentiality and adhere to HIPAA regulations and organizational policies.

Education & Experience

High school diploma, GED, or equivalent required.
Proficiency with PC and experience in inpatient and outpatient insurance claim filing and reimbursement.
Ability to manage multiple tasks simultaneously and prioritize effectively.

Requirements & Skills

Strong customer service and communication skills, with the ability to calmly assist distressed or agitated patients and families.
Completion of Mandatory Reporter course at hire or within six months.
Compliance with all federal, state, and professional licensure and regulatory training requirements.
Commitment to integrity, credibility, and organizational mission.
Participation in ongoing education and compliance training as required.

This position is based in a regional healthcare setting within the Midwest, offering a supportive and collaborative work environment focused on patient-centered care.

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