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Financial Counselor
4 months ago
We are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.
We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities.
WHAT WE OFFER
- Essential/stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members (including Full-Time and Part-Time) can benefit from.
- Hourly pay is negotiable based on experience. We offer competitive market pay and opportunities for bonus depending on great work performance (bonuses only apply for Full Time).
- Comprehensive Employee Benefits: Full-Time employees are eligible for various plans for medical, dental, and vision insurance.
Gateway Regional Medical Center is looking for a meticulous, helpful financial counselor to assist patients with cost estimates, and to collaborate with external parties to ensure their financial coverage. The financial counselor will explain financial information, determine prospective patients' ability to pay, provide education on free health care and Medicaid, and assist with the application process. You will educate patients on their financial obligations to the facility, and follow up with patients and other parties to ensure accuracy and completeness of the information.
PRIMARY RESPONSIBILITIES
- Explains all required forms to the patient or guarantor and obtains the necessary signatures.
- Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
- Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility. Completes complex financial counseling including the review and submission of charity applications. Identifies alternative resources for financial reimbursement.
- Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
- Posts payments in the computer system and generates the appropriate patient receipts.
- Monitors, reviews and resolves patient account issues on assigned reports. Performs account analysis and trending.
- Completes quality review and monitors for process improvement opportunities.
- Functions as a team leader in the department by ensuring daily processes are complete, scheduling employees, providing answers to employee questions and assisting in employee orientation and training.
- Communicates in an effective and professional manner with Physicians, Care Management, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families (all Patient Access customers). Completes thorough and accurate documentation.
- Ensures safe care to patients, staff and visitors; adheres to all policies procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
- Attending and participating in meetings, training, and presentations.
- Completing financial applications.
- Furnishing patients and health care providers with estimates.
- Assisting patients with financial applications and arrangements.
- Collecting estimated liabilities from patients.
- Establishing health insurance benefits, conditions, and requirements by making phone inquiries, and by using eligibility systems and the internet.
- Verifying patients' employment details and other particulars.
- Reporting problems and concerns to supervisor.
- Complying with relevant rules, regulations, policies, and procedures.
- Performing other duties as assigned.
- Three (3) years of experience in a hospital or medical business office setting
- High school graduate or equivalent
- Additional college or business training preferred.
- Minimum of 2 years previous healthcare experience required
- CPR is not required
- Minimum typing skills of 35 wpm
- Through knowledge of computer systems in healthcare information systems.
- Knowledge of function and relationships with hospital environment preferred.
- Proficiency in medical terminology
- Working knowledge of insurance plans and requirements
