Patient Financial Counselor - FT40, Days

Responsibilities

The Patient Financial Counselor works closely with providers, clinical staff, utilization review, patient access, patients, and their families to prepare and ease financial outcomes. The Patient Financial Counselor will maintain patient confidentiality and dignity while serving as a counselor to the uninsured or under-insured patient. Counseling includes establishing payment plans, preferably prior to service, collaborating with contracted eligibility vendor to assure that patients meeting criteria are screened for potential payer source, assist patients with enrollment in other available programs such as drug assistance through pharmaceutical companies or Financial Assistance, all in accordance to policy and regulatory compliance.

RESPONSIBILITIES:

• Assure financial clearance for services in both hospital and physician office settings. Services include but not limited to:Inpatient, General Surgery, OB/GYN, Medical Oncology, Radiation Oncology, Orthopedics.Verify and clarify scope of insurance and insurance requirementsAssist with securing prior authorizationsProvide patient estimates and establish payment plansFollow up with patients as needed to assure timely response to enrollment deadlinesAssist individuals with the Financial Assistance Program (FAP) application process.Receive incoming calls, taking necessary action to resolve caller’s issue(s).Demonstrate knowledge of, and support the hospital mission, vision, and valuesOther duties as assigned

Qualifications

EDUCATION:

• College degree in related field preferred or 2 years’ experience in relate fieldEXPERIENCE:
• 2 years’ experience in healthcare business office function: registration, billing, collections, finance, or other state or federal healthcare funded programs preferred.Knowledge of Federal and State programs and the ability to interpret Federal and State policies to assure legal complianceKnowledge of legal documents, full disclosure laws, credit analysis, and the fair debt collection practice preferred.SKILLS:
• Professional demeanor with excellent customer service skillsExcellent oral and written communication skillsStrong analytical and problem solving skillsDemonstrate knowledge of third party billing proceduresCapability to balance cash drawer and perform basic accounting functionsExcellent organization and time management skills including effectively establishing prioritiesAbility to work well in a team settingAbility to maintain accuracy while under pressure to meet deadlinesAbility to adapt to change while maintaining a positive environmentDependable in both production and attendance.