Pricing Specialist

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HonorHealth is one of Arizona's largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 15,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com.

• Applies pricing methodologies accurately: Conducts analysis, pricing and risk assessment to estimate financial outcomes for the customer. Obtains pertinent information from appropriate parties to provide accurate pricing, such information may include CPT, HCPCS, and ICD-10 codes, estimated length of stay, expected patient class, and estimated time in the operating room and any payer/benefits information, including deductible and out-of-pocket maximums, co-pays and co-insurance percentage information. Documents EMR promptly and sufficiently. Uses pricing software effectively and proficiently and produces accurate pricing estimate/deposit documents. Translates ICD-10 diagnosis codes and CPT/HCPCS procedures codes to an appropriate estimated DRG for pricing purposes. Provides estimated DRGs to Pre-Service and Admitting staff for inpatient accounts. Communicates pricing and responds timely to all pricing inquiry calls and requests for pricing submitted through the HonorHealth website.
  
• Acts as a financial steward for the organization: Demonstrates a thorough understanding of and adherence to network financial policies. Demonstrates a thorough understanding and appropriately communicates, explains, and offers self-pay packages, prompt pay discounts, direct pay discounts, basic financial assistance, and charity applications. Communicates timely and effectively with Charity Committee physicians and PFS Self-Pay unit on charity applications submitted through Pre-Services. Keeps detailed records of charity/financial assistance application submissions.
  
• Serves as an effective liaison with EMR analysts on EPIC Estimates functionality, upgrades, and enhancements. Manages the Self-Pay Package forms and ensures they are kept current. Periodically evaluates self-pay estimate reports and initiates requests for additional self-pay packages when the need is evident. Documents EMR timely and appropriately of all details of interactions and actions. Analyzes reports and makes adjustment accordingly.
  
• Records all incoming and outgoing calls using vendor software and documents tracking number on patient's account or on applicable documents for non-patients. Contact patients or other parties and provides appropriate insurance benefit and patient responsibility deposit estimate. Works well with peers; takes responsibility for actions and non-actions. Adapts well to change, eagerly accepts new assignments and actively contributes to team goals with enthusiasm and full support. Cross-cover for Financial Counselors when needed.