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PFS Financial Counselor

4 months ago

Pawleys Island, United States Tidelands Health Full time

Employee Type:
Regular
Work Shift:
Day - 8 hour shift (United States of America)

Join Team Tidelands and help people live better lives through better health

Position Summary: The Patient Financial Counselor reports to the Vendor Relationship Manager and will be responsible for the following:

•Working with all pure self-pay patients and insured patients who are responsible for a balance after insurance to gather, review, and evaluate the necessary and pertinent information regarding patient income and assets, and establish access to and utilization of government health coverage and/or charity care.

•Financially clearing patients by hospital bedside in the Emergency Department or at outpatient registration to either obtain cash payment or ensure full and timely payment of their account through suitable payment arrangements.

•Facilitating the creation of individualized monthly installment plans for patients to pay off balances within the guidelines of the Tidelands Health collection policy.

•Utilizing a series of methods, including face-to-face meetings, telephone, and electronic/standard mail to establish and maintain contact with patients/guarantors.

•Fastidiously recording and maintaining complete documentation of all activities performed on patient accounts in a timely manner.

•Managing the process by which scheduled non-urgent and non-emergent patients receive clearance for an upcoming visit.

•Monitoring progress of applications to ensure adherence to application completion and processing timelines.

•Maintaining compliance with state and federal regulations as they relate to Patient Financial Services.

•Remaining in communication with manager regarding high-risk accounts and workflow trends and fluctuations.

•Other duties as assigned - Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee partner for this job. Duties, responsibilities and activities may change at any time with or without notice.

QUALIFICATIONS

Education:

•High school diploma, required.

•Associate degree or higher, preferred.

Experience:

Two (2) or more years of experience and/or knowledge with the following:

•Patient financial counseling, patient customer service, scheduling, or prior authorization.

•Detailed knowledge of third party payor regulations related to managed care, denials, and reimbursement issues.

•Terminology for hospital billing.

•CPT and ICD-10 coding.

•Hands-on knowledge of the Experian Health, Inc. CharityGuide and PayNav tools.

•Utilization of the MS Office suite.

License/Certification:

•Accredited Financial Counselor (AFC), preferred.

•Certified Revenue Cycle Representative (CRCR), preferred.

Skills:

•Ability to negotiate point of service payment.

•Demonstrated ability to exhibit exemplary core customer skills at all times.

•Independent decision-making skills, collaborative abilities, and organizational and time management skills.

Other:

•Incumbent must have the ability to work evenings, as needed.

Physical Requirements: Light Physical Agility Test (PAT) Rating

While performing the duties of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; frequently to use hands, fingers; and frequently to talk or hear. The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.