Phase 2 Financial Counselor

2 months ago

Round Rock, United States Baylor Scott & White Health Full time

**BSW ROUND ROCK MEDICAL CENTER EXPANSION 2025**

Join us in an extraordinary opportunity to be at the forefront of our hospital's expansion in Round Rock, Texas. As we gear up to open our doors on January 11, 2025, you'll play a pivotal role in shaping the future of healthcare in our community.

Our expansion, spanning 165,000 square feet, will introduce a state-of-the-art patient tower to our Round Rock hospital, tailored to accommodate the evolving needs of our rapidly growing population. Among its highlights, the tower will house an innovative 11-bed Neonatal Intensive Care Unit, alongside expanded capacities for crucial departments such as med/surg and labor and delivery.

Anticipate a host of enhancements, including:

+ Additional operating rooms, cath labs, and procedural areas.

+ Expansions and upgrades to communal spaces.

+ Implementation of advanced equipment across various departments.

+ Shell space earmarked for future growth, including the expansion of our Emergency Department and operating suites.

As we embark on this transformative journey, we invite you to seize this unparalleled opportunity to make a meaningful impact on healthcare delivery in our community. Interviews will commence in Summer 2024, with selections finalized by November 2024, and start dates beginning on January 6, 2025.

**JOB SUMMARY**

The Financial Counselor is responsible for performing financial clearance functions, including but not limited to, verifying insurance eligibility and benefits, ensuring authorizations and providing price estimates. This position facilitates resolution in disputed billing issues which require intense interaction with patients. This position also serves as subject matter expert in financial assistance policies, facility point of service collections and provides support on special projects.

**ESSENTIAL FUNCTIONS OF THE ROLE**

+ Works closely with facility leadership to ensure all patients are financially cleared and screened.

+ Conducts patient interviews to obtain demographic and financial data for registration, insurance verification, pre-certification and billing.

+ Records accurate patient demographic information when reviewing previous accounts and accounts with future dates of service.

+ Follows and acts on several complex system policies (financial assistance, limited plan, point of service, out of network, etc.)

+ Obtains and screens guarantor financial information for financial assistance and or refers patient to appropriate resource for public assistance programs.

+ Provides estimates of procedures and services, calculates payment requirements, and negotiates pre-service payments according to financial clearance requirements.

+ Establishes payment arrangements for future and previous services.

+ Reviews future schedule to ensure pre-authorization and pre-payments have been collected.

+ Assists with contacting physician office and patient in order to ensure pre-authorization and referral requirements are met prior to the date of service.

+ Reviews and interprets explanation of benefits received from payers in order to assist patients and guarantors with understanding of claims processing or denial of services by payer.

**KEY SUCCESS FACTORS**

+ 3 years of healthcare experience or education equivalency required.

+ Proven ability to problem-solve, perform critical thinking.

+ Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.

+ Ability to maintain a professional demeanor in a highly stressful and emotional environment, to include crime, behavioral health and suffering patients in addition to life or death situations.

+ Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills.

+ Demonstrates ability to manage multiple, changing priorities in an effective and organized manner.

+ Excellent data entry, numeric, typing and computer navigational skills.

+ Basic computer skills and Microsoft Office and Excel.

**BENEFITS**

Our competitive benefits package includes the following

+ Immediate eligibility for health and welfare benefits

+ 401(k) savings plan with dollar-for-dollar match up to 5%

+ Tuition Reimbursement

+ PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level

#RREXP24

**QUALIFICATIONS**

+ EDUCATION - H.S. Diploma/GED Equivalent

+ EXPERIENCE - 3 Years of Experience

As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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