Financial Counselor
Overview Job Title: Financial Coordinator Effective Date: 07/02/2017 Job Code: 60311 Clinical: No FLSA Status: Non-Exempt Supervisory Role: No Job Summary: Provides assistance to patients and family members regarding establishing arrangements to provide payments for services provided. Ensures all insurance requirements are met prior to patients' arrival and informs patients of their financial liability prior to arrival for services. Education: High School Diploma or GED Required Experience: 2 Years in hospital/clinical services access or billing and collections insurance Required Additional Knowledge, Skills, and Abilities: Excellent communication skills, oral and written. Ability to analyze data, perform multiple tasks, and work independently. Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers, and supervisors. Must be able to understand and comply with policies and procedures. Job Specific Duties: Patient Registration: Admit, register, and pre-register patients with accurate demographics and financial data. Insurance Authorization Administration: Request insurance authorizations for medical and dental procedures via online portal or by phone. Enters authorizations in various systems. Provides estimates using the passport estimator for future services to help determine patients' liability. Screen patients for charity care, COBRA, and Medicaid. Help complete applications as needed. Work with third-party payers for copay assistance. Submit forms for prior authorizations. Financial Service Administration: Calculate and collect payments from patients for hospital and faculty physicians. Set up payment arrangements. Reconcile daily money collected. Work with collections agencies to resolve balances and/or collect payments. Patient Referrals: Refer patients to the Manufacturer Drug program as needed for medications. Claim Resolution: Review and explain claim rejections on patients' accounts. Help resolve patient balance issues and questions. Professionalism: Upholds a professional working relationship at all times and adheres to department rules. Practices teamwork and adheres to Standards of Behavior. Performs other duties as assigned by management. Workplace Requirements: Complies with all required employee health programs including annual tuberculin testing and other applicable screening, testing, and vaccinations. Maintains current licensures, certifications, and/or registrations (if applicable for the position). Complies with requirements for job-specific competency testing and demonstrates and communicates proficiency in skills required (if applicable to position). Adheres to and understands the Health System's Corporate Compliance Plan as evidenced by timely participation in required training (including annual testing) and 100% compliance with the Corporate Compliance Code of Conduct. Adheres to and understands the Health System's Environment of Care Plan as evidenced by timely participation in required training (including annual safety testing). Adheres to and understands the Health System's HIPAA Compliance Plan as evidenced by timely participation in required training (including annual HIPAA testing). Attends all required educational programs (including General Orientation, and departmental or job-specific required programs). Physical and Behavioral Requirements: Occasional stooping and standing. Frequent sitting and walking. Sedentary physical force (exerting up to 10 pounds of force occasionally or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects). Visual acuity is required for computer use. Ability to speak and hear is required to effectively communicate with patients and family members. Manual finger dexterity for computer use. Ability to manage a high-stress environment resulting from patient financial arrangements. J-18808-Ljbffr
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