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Overview The Financial Counselor will be responsible for conducting eligibility screenings, assessing patient financial requirements, and counseling patients on insurance benefits and copayments. This role is accountable for working with vendors, billing, and/or case management to ensure secured reimbursement to DCH prior to services or before the patient is discharged and mitigates at-risk accounts. Responsibilities Interview patients to obtain legally relevant medical information and all required documentation for eligibility determination and accurate application completion to avoid rejections/delays in payment; increase to AR. Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications. Screen uninsured patients for state and federal insurance programs; Medicaid, All Kids Marketplace, Medicare, or VA Programs. Counsel patients on insurance benefits, copayments, and coinsurance amounts. Assist patients with payments, payment plans, or applicable options to ensure DCH is reimbursed for services rendered. Operate as a collector to accept patient payments via cash, credit, or checks. Document applicable systems and provide patient receipts. Ensure all insurance, demographic, and eligibility information is entered into the EMR accurately and appropriate signatures are obtained on all required forms for clean claim processing. Serve as a liaison between the patient, hospital, and governmental agencies; actively involved in financial areas of case management for supportive patient advocacy for the best patient experience. Initiate and complete charity applications on at-risk accounts or items not obtained at the time of registration to avoid financial loss or payment denial for DCH. Maintain proper follow-up with the patient and governmental agency caseworkers to ensure timely processing, including requests for additional information. Work reports each week and document account notes of application status for all pending applications. Escalate at-risk accounts to leadership. Review financial data and multiple program requirements to determine possible Marketplace eligibility or other government insurance. Determine estimates for patients to secure adequate payment arrangements with patients for scheduled services in compliance with the No Surprise Act. Provide reports and analysis to the Assistant Director on insurance discoveries or secured Medicaid, Marketplace, or charity applications. Participate in process improvement activities and efficient workflow between Patient Access and Billing for Clean Claim Processing. Exercise problem-solving skills independently or within a group setting for the best financial outcomes. Verify or re-verify benefits or initiate or obtain authorization and/or referrals, including validation of traditional or HMO plans and commercial coverages within payer timelines to ensure reimbursement to DCH. Work collaboratively with Case Management and Discharge Planning for awareness of community resources to engage patients and family members as needed. Maintain understanding of all regulatory, HIPAA, and payer guidelines. DCH Standards: Maintain performance, patient and employee satisfaction, and financial standards as outlined in the performance evaluation. Perform compliance requirements as outlined in the Employee Handbook. Adhere to the DCH Behavioral Standards, including creating positive relationships with patients/families, coworkers, colleagues, and with self. Perform essential job functions in a manner that ensures the safety of patients, visitors, and employees. Identify and reduce unsafe practices that may result in harm to patients, visitors, and employees. Recognize and take appropriate action to reduce risks and hazards to promote safety for patients, visitors, and employees. Use electronic mail, time and attendance software, learning management software, and intranet. Adhere to all DCH Health System policies and procedures. Perform all other duties as assigned. Qualifications: Associate Degree OR High School diploma/GED with prior advocacy/Revenue Cycle experience of at least two years in a healthcare setting. Ability to use a computer efficiently to register patients in a timely manner. Good communication skills. Must have a pleasant voice and speak with clarity. Ability to interact well with the public and staff. Ability to read, write, and speak English. Working Conditions: Carry up to 30 pounds, occasionally required to push, pull, bend, and lift. Ability to push a wheelchair, assisting with entry or exit. Able to stand, walk, kneel, sit, or stoop with good balance for extended periods of time or when visiting patient rooms or clinical units to interview patients and obtain information. Vision and hearing normal or corrected to normal. Can write legibly. Must have the ability to communicate with others. Mental capability to maintain patient confidentiality 100% of the time. Subject to stress and fatigue. #J-18808-Ljbffr