Financial Counselor

4 weeks ago


Omaha, United States CommonSpirit Health Full time

Overview:

REMOTE WORK OPPORTUNITY

Your time at work should be fulfilling. Rewarding. Inspiring. Thats what youll find when you join one of our non-profit CHI facilities across the nation. Youll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together well create healthier, stronger communities.

CHI Health provides you with the same level of care you provide for others. We care about our employees well-being and offer benefits that complement work/life balance.

We offer the following benefits to support you and your family:

  • Employee Assistance Program (EAP) for you and your family
  • Health/Dental/Vision Insurance
  • Flexible spending accounts
  • Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
  • Paid Time Off (PTO)
  • Tuition Assistance for career growth and development
  • Matching Retirement Programs
  • Wellness Program

From primary to specialty care as well as walk-in and virtual services CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Responsibilities:
This position contributes to the mission of CHI Health ensuring medical supplies and equipment are billed accurately as well as management of patient accounts receivable. This position works collaboratively with RTs and Healthcare Representatives within the department. Position will also work with CHI Clinics, facilities, and hospitals in the Lincoln Metro area to answer questions about what is covered by healthcare benefits and help to obtain insurance coverage thru means of predetermination and/or pre-authorization. Essential Key Job Responsibilities
  1. Maintain appropriate documentation of billing practices
  2. Maintain professional growth and development through assigned and optional seminars and workshops.
  3. Participation in the development and implementation of department policies and procedures.
  4. Communicate a professional attitude with other departments.
  5. Demonstrates work practices consistent with CHI Health and department specific safety, security policies.
  6. Answer questions about claims asked by patients, staff and/or insurance companies.
  7. Accounts Receivable processing, mailing, payment posting, document patient activity, and submission to collections when all other avenues are exhausted.
  8. Research insurance eligibility and coverage, complete any necessary paperwork or submit clinical notes in timely manner to ensure clean claim sent on to insurance.
  9. Submit manual and electronic insurance claims to third party payers in a timely and accurate manner to ensure filing deadlines are satisfied and accurate payments are received.
  10. Review claim errors, identify errors and make necessary corrections to resubmit and/or appeal insurance determination.
  11. Maintain confidentiality according to the HIPAA guidelines and regulations.
  12. Other duties as assigned by management


Qualifications:
  • A minimum of 2 years of medical billing experience
  • Understanding of medical terminology and disease processes
  • Knowledge of DME or professional HCFA billing, accounts receivable, and collections preferred. Ability to perform non-complex mathematical calculations.
  • Ability to utilize computer processing in day to day activities


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