Financial Counselor Lead at South Seminole Hospital
3 weeks ago
Position Summary:
Department: SSH Patient Access
Status: Full-Time
Schedule: Day Shift
Monday through Friday 8:00A - 4:30P
Will rotate weekends and open to oncall
Title: Financial Counselor Lead
Located in Longwood, Florida, Orlando Health South Seminole Hospital is a comprehensive medical, surgical and behavioral health facility with 126 acute-care beds and 80 inpatient behavioral health beds. Orlando Health South Seminole has a 30-bed ER, surgical department, endoscopy center and diagnostic cardiac catheterization laboratory. It also provides a full range of outpatient services, including diagnostic and interventional radiology, nuclear medicine, laboratory, surgery, MRI, psychotherapy services and hyperbaric oxygen therapy for wound care. Orlando Health South Seminole is proudly recognized among the nations Best Regional Hospitals by U.S. News & World Report, Great Community Hospitals by Beckers Healthcare and Best Places to Work by Modern Healthcare, named for four consecutive years.
Orlando Health South Seminole is part of the Orlando Health system of care, which includes award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities that span Floridas east to west coasts and beyond. Collectively, our 27,000+ team members honor our over 100-year legacy by providing professional and compassionate care to the patients, families and communities we serve.
Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions. Orlando Health Is Your Best Place to Work is not just something we say, its our promise to you.
Top Reasons to Choose Orlando Health - South Seminole Hospital:
- South Seminole Hospital is Nationally Recognized for the BEST Places to Work
- Benefits Package that begins on day one (Full-Time & Part-Time only).
- Flexible Schedules
- Tuition Reimbursement up to $5,000 a year.
Position Summary:
The Financial Counselor Lead is a key position on the team which assists patients and their families with a host of services to ensure that the process of collection payments is fully explained and is as comfortable as possible.
Responsibilities:Understands the importance Orlando Health places on providing exemplary customer service and performs job functions in a manner that helps meet the department customer service goals.
Demonstrates a positive and professional approach and communicates effectively with customers and team members at all times.
Identifies customer service issues and resolves or initiates necessary follow-up. Implements service recovery efforts as appropriate.
Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information.
Explains necessary forms and obtains signatures from patient/guarantor.
Contacts appropriate payers, verifying benefits and obtaining necessary authorizations.
Utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
Explains insurance benefits and collects co-pays, deductibles and self-pay portions due.
Collects for related professional care as appropriate.
Collects outstanding balances due from previous accounts or establishes payment arrangements for these balances as appropriate.
Provide complete resolution to patients billing issues and questions.
Contacts Primary Care or Admitting Physician to obtain authorizations, diagnosis, and procedure detail as necessary.
Documents authorization and benefit information in registration system.
Assembles patient record and obtains copies of relevant documents including insurance cards, photo identification cards and any advance directives.
Demonstrates a thorough knowledge of third party reimbursement requirements and regulations.
Exhibits thorough knowledge in the use of all registration and scheduling systems, electronic verification tools and Web based resources.
Follows Patient Financial Services self-pay policies including completion of Guarantor Financial Statement Application, explanation of payment options and collections of monies due.
Screens patient/guarantor for federal, state, county or other assistance programs and completes necessary forms and applications per facility guidelines.
Follows Patient Financial Services policies related to cash handling.
Performs departmental cashiering functions and process point of service transactions.
Performs advanced department cashiering functions.
Collects and inventories patient valuables following policy guidelines.
Maintains thorough understanding of the medical necessity screening process and appropriate systems.
Maintains a thorough knowledge of ICD-10 and CPT codes.
Performs appropriate pre-registration functions including calling physician offices, insurance payers and the patient/guarantor, as necessary.
Cross-trained with appropriate knowledge and skills necessary to staff all areas of Patient Access at any facility, including but not limited to Front Desk, Admitting Office, Cashier, Insurance Verification, Floor Representatives, Pre-Registration, Scheduling and Emergency Department Business Office.
Acts as a resource for training of new team members.
Serves as a resource during the implementation of new process improvements.
Performs the duties of a system super user.
When performing scheduling functions provide patients with thorough and accurate procedure information.
When performing scheduling functions maintains open communication with physicians and their offices, patients, all ancillary and surgical areas to include scheduling, rescheduling and cancellations of single/multiple tests and procedures.
Acts as liaison between Nursing, Ancillary, Scheduling, Case Management, Social Workers, Managed Care Companies, Physicians, Administration and Patient Accounting.
Maintains departmental logs for statistical reporting.
Works departmental reports as assigned
Education/Training
High School or equivalent.
Must complete Corporate and Patient Financial Services annual educational requirements.
Licensure/Certification
None.
Experience
Two (2) years experience in a financial, business office, or customer service environment.
Proficient in Windows Microsoft Office-based products (Word, Excel, PowerPoint).
Typing proficiency.
One (1) year PC/Windows experience.
Someone that is that willing to attend huddle and any leadership meetings.
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