Financial Counselor- Oncology Business Services

3 weeks ago

Daphne, United States USA Health Full time

Overview:

USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community.

USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most advanced medicine at multiple facilities, campuses, clinics and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall wellbeing of our community.

Responsibilities:

Assesses treatment orders/protocols to determine oncology costs of patients total treatment and provides estimates of future services; utilizes electronic system to review individuals insurance policy/coverage in determining patient obligations for payments; explains financial requirements to the patient or responsible party and collects deposits, deductibles, or coinsurance as required; advises patients of balances due; interacts with patients by telephone, e-mail, or in person in a professional and courteous manner to communicate financial expectation prior to receiving service; utilizes databases to research incorrect patient demographic information; documents all activity; collects appropriate payment before services are performed, if satisfactory arrangements are not made; works with physicians office staff, physicians, departmental directors and management to determine whether services can be postponed until financial obligations are met; reschedules patients in computerized scheduling system as needed; collects appropriate payment before services are performed, if satisfactory arrangements are not made; provides information regarding payment requirements, alternative financing, and charity care programs that patients may be eligible for and that meet all applicable guidelines; works closely with billing staff to ensure all information is collected to ensure timely billing; coordinates appeals of insurance payment rejections with the business office; coordinates appeals of insurance payment rejections with the business office; stays current with respect to changes in regulatory statutes, major insurance plans, deductibles, coinsurance, and non-covered services and state legislation; demonstrates an understanding of insurance reimbursement, Medicaid eligibility and available patient financing programs; interacts with patients, physicians, faculty, staff, and administrators and outside entities in a professional manner; utilizes excellent customer service skills for internal and external customers; maintains HIPAA requirements in all areas; utilizes Microsoft Word and Excel to prepare correspondence and reports; regular and prompt attendance; ability to work schedule as defined and overtime as required; and related duties as required.

Qualifications:

High school diploma or equivalent and four years of medical business office or medical insurance experience. Familiarity with medical terminology is required.

Higher education in Social Work, Counseling, or directly related field may substitute on a year-for-year basis for the required experience.

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