Senior Account Reimbursement Specialist, PFS Estimates II (Clarksville) - REMOTE

**Discover Vanderbilt Health** : With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world\-class care to the people of the Mid\-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region. **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. . * **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 * **Qualifications:** HS/GED and 4 years of relevant work experience 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 in