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Financial Counselor III

4 months ago

Palo Alto, California, United States Stanford Health Care Full time

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.

Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview

The Financial Counselor Level III screens uninsured and underinsured patients at bedside and prior to or post services to identify government or charity programs to cover medical expenses. Information is gathered through a patient financial interview which includes a review of hospital charges, the patient's insurance status and financial resources. It may include the completion of appropriate applications and diligent follow up for approval. This individual must possess the ability to effectively communicate, both orally and in writing, to a variety of individuals including: patients, case workers, social workers, hospital directors and executives while maintaining utmost professionalism. Must be multi-task orientated with excellent critical thinking skills and possess the ability to appropriately handle complexity and stress within the changing needs of the patients, families and the health system. Individuals at this level will acquire the necessary job skills, knowledge, team leadership and other qualifications through on-the-job and/or formal training in order to advance to the Financial Counselor IV (Lead) Level.

Locations

Stanford Health Care

What you will do

  • Finds solutions to help address patient financial needs in accordance with Stanford Health Care policies and procedures.
  • Determines financial clearance for a patient's visit or referral (pre-service or at time of service). Checks eligibility and benefits, determines authorization requirements have been met.
  • Assesses "risk" of cases that have not been financially cleared/secured prior to service. Clears low risk cases, escalates high-risk cases to coordinator or manager. Contacts patient regarding steps required to clear their appointment for services including collecting a deposit for the patient's financially responsible portion.
  • Expert at estimating a patient's out of pocket costs, including new services. Prepares documents to present to the patient for payment. Assures secure handling and accurate recording of payments collected from patients.
  • Applies strong problem solving skills to help address the concerns and needs of the patients that the Financial Counselors serve. Applies experience to assist other team members to address exception or challenging case problems.
  • Identifies opportunities to use problem cases for ongoing team training; prepares "case study" materials and proposes content edits/additions to Financial Counseling reference binder.
  • Effectively communicates, both orally and written, to a variety of individuals including: patients, case workers, social workers, hospital directors and executives while maintaining utmost professionalism.
  • Maintains professional communication with various PFC and PAS staff, medical center staff, physicians, guests, and patients regarding the services rendered at Stanford Health Care. Communication may consist of telephone correspondence or in person contact.
  • Must be multi-task orientated with excellent critical thinking skills and possess the ability to appropriately handle complexity and stress within the changing needs of the patients, families and the health system.
  • Must be actively participating in cross-training and knowledgeable in more than four area of operations.
  • Assists in providing support and coaching/training for Financial Counseling I & II as needed by direction of Team Manager.
  • Meets weekly individual productivity goals and standards while following planned priorities as set by the Team Manager/Lead(s).
  • Assists the Financial Counseling Coordinator in performing on-the-job training for new hires.
  • Performs other duties and responsibilities as assigned by the unit team manager or other FC management personnel.
  • Performs the complete registration and admitting process from start to finish.

Education Qualifications

  • High school diploma or GED equivalent required.

Experience Qualifications

  • A minimum of three years of responsible experience in a hospital, clinic financial counseling role, closely related field, or combination of experience and equivalent education, knowledge of pre-authorizations and reimbursement regulations pertaining to Medicare, Medi-Cal, and children's health programs with previous experience working in a metrics powered environment driven by financial counseling goals (such as screening rates and collection goals).

Required Knowledge, Skills and Abilities

  • Language: Bilingual preferred (English and Spanish)
  • Technology & Applications:
  • Demonstrates proficiency as applicable with Epic, insurance websites, POS payment systems, web-based screening tools
  • Knowledge and understanding of Microsoft applications (Word, Excel, PowerPoint)
  • Industry Knowledge:
  • Strong knowledge of eligibility and enrollment requirements for Medicare, Medi-Cal, Workers' Comp, Managed Care (HMO, PPO, POS, etc. ), Children's Health Programs (CCS, GHPP, Healthy Families, etc. )
  • Experience resolving issues in financial reimbursement billing, utilization management and government programs
  • Skills/Abilities:
  • Prior experience calculating, communicating and educating patient's on their financial responsibilities
  • Must be able to function in a dynamic environment with excellent critical thinking skills and possess the ability to appropriately handle complexity and stress within the changing needs of the patients, families and the health system. Demonstrated communication, customer relations, and organizational skills
  • Ability to multi-task with attention to detail
  • Ability to complete work efficiently and problem solve independently
  • Ability to work well in a team environment

Licenses and Certifications

  • HFMA - Certified Rev Cycle Rep (CRCR) required within 1 Year

Physical Demands and Work Conditions

Blood Borne Pathogens

  • Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family's perspective:

  • Know Me: Anticipate my needs and status to deliver effective care
  • Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
  • Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $ $39.59 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow.

As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care.

Learn about our awards ) and significant events ) .