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Financial Counselor

3 months ago

Des Moines, United States Medix Full time
Responsibilities:

  • Performs analysis of current and future patient accounts to validate third party coverage and to determine what if any amount is patient responsibility.
  • Conducts patient financial interviews to assist with the resolution of the patient's account, and to ensure compliance with hospital financial resolution policies.
  • Assists and educates patients with respect to available resources for medical coverage including the Insurance Marketplace, governmental programs, and financial assistance. Distributes information and estimates for No Surprise Billing according to department standards.
  • Provides information, education, assistance, and follow-up as needed to complete charity processing for assigned patients, as appropriate.
  • Visits inpatients to advise patients and guarantors as to rights, responsibilities, and procedures with regards to payment for care.
  • Collects patient payments.
  • Performs follow-up by telephone and/or written correspondence with patients.
  • Monitors all self-pay and Medicaid (MA) pending inpatient and observation patients daily to ensure active follow-up for insurance is in progress.
  • Interacts and collaborates with numerous departments to resolve issues and provide necessary information that will ensure hospital reimbursement for Third Party liability.
  • Communicates routinely with patient access staff, and / or physician offices as needed regarding the financial status, and deposit resolution for patients seeking certain elective or routine procedures.
  • Escalates unresolved financial matters and / or complaints to Supervisor/Manager in a timely manner.
  • Obtains and records new personal, demographic, medical insurance information. Ensures that patient demographic and financial information is complete and accurate.