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Patient Financial Counselor
1 month ago
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 requirements
Assist with securing prior authorizations
Provide patient estimates and establish payment plans
Follow up with patients as needed to assure timely response to enrollment deadlines
Assist 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 values
Other duties as assigned
Qualifications:
EDUCATION:
College degree in related field preferred or 2 years' experience in relate field
EXPERIENCE:
2 years' experience in healthcare business office function: registration, billing, collections, finance, or other state or federal healthcare funded programs preferred.
Knowledge of legal documents, full disclosure laws, credit analysis, and the fair debt collection practice preferred.
SKILLS:
Professional demeanor with excellent customer service skills
Excellent oral and written communication skills
Strong analytical and problem solving skills
Demonstrate knowledge of third party billing procedures
Capability to balance cash drawer and perform basic accounting functions
Excellent organization and time management skills including effectively establishing priorities
Ability to work well in a team setting
Ability to maintain accuracy while under pressure to meet deadlines
Ability to adapt to change while maintaining a positive environment
Dependable in both production and attendance.
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