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Financial Counselor, Behavioral Health

3 months ago


Edwards, United States Vail Health Full time

Job Seekers, Welcome to ALUMNI CAREER CENTER Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here.About the opportunity: The role of the Financial Counselor is to increase health insurance coverage for patients, ensure access to Olivia's Fund Scholarship (OFS) and Employment Assistance Programs (EAPs) for eligible participants, and support the complex insurance, billing, and access needs of the most vulnerable members of the community. The Financial Counselor will support patients with billing, payment, and financial navigation questions to maximize the revenue captured by Vail Health Behavioral Health and minimize associated financial hardship for patients due to their cost of care. What you will do:Determines the financial responsibility of patients. Assists patients/representatives with establishing payment plans. Collects required deposits and payments due on accounts. Serves as a point of contact for all patient or potential patient benefit questions. Works to identify and communicate behavioral health benefits, patient responsibility, and any limitations.Provides enrollment assistance and health coverage education to uninsured children, adults, and families to help them access behavioral health care.Works with the scheduling teams and behavioral health providers to ensure all appropriate prior- and pre-authorizations are completed on time including providing the patient information about deductibles, co-payments, etc. and problem-solving ways to support patients who are under-insured or unable to cover the cost of services.Works directly with insurance companies, Medicaid, Medicare, Employee Assistance Programs, Olivia's Fund Scholarship, etc. to understand behavioral health benefits, advocates for increased coverage, problem-solves barriers for payment and service provision, and helps patients navigate payer sources.Serves as a point of contact for all patient financial queries. Works with Eagle Valley Behavioral Health and Vail Health billing departments to explore and research patient concerns.Participates in quality control audits of processes that impact billing, including patient registration, appointment type coding, prior authorizations, insurance confirmation, and payer set-up in electronic health record.Utilizes the behavioral health financial navigation reference guides to ensure accurate, precise, and timely implementation of policies and procedures impacting billing and patient experience.Tracks and manages financial programs and referrals including Olivia's Fund, Employee Assistance Programs, Worker's Compensation, Veterans Affairs, etc. and communicates with Revenue Cycle and third-party vendors to address billing questions.Accurately tracks and monitors assistance and enrollment numbers, billing concerns, patient stories, and issues related to enrollment, registration, and behavioral health billing. Attends and successfully completes all required training programs, participates in weekly calls, webinars, and other professional development opportunities. Assists in training of staff. Models the principles of a Just Culture and Organizational Values.Performs other duties as assigned. Must be HIPAA compliant, comply with procedural guidelines, and maintain confidentiality.This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. What you will need: Experience:Two years of similar work experience defined through prior roles with a similar level of communication, organization, customer service and exposure to regular/recurring financial transactions, preferred.Previous hospital admissions or patient accounts office experience, preferred.Bilingual in English and Spanish, preferred.License(s):N/ACertification(s):N/AComputer / Typing:Must possess, or be able to obtain within 90 days, the computer skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Must be comfortable working with various computer programs, including the Microsoft Office suite.Must have working knowledge of the English language, including reading, writing, and speaking English. Education:N/AApplication Close Date: July 15, 2024 Benefits at Vail Health (Full and Part Time) Include:Competitive Wages & Family Benefits:Competitive wagesParental leave (4 weeks paid)Housing programsChildcare reimbursement Comprehensive Health Benefits: MedicalDental VisionEducational Programs: Tuition Assistance Existing Student Loan RepaymentSpecialty Certification ReimbursementAnnual Supplemental Educational FundsPaid Time Off:Up to five weeks in your first year of employment and continues to grow each year.Retirement & Supplemental Insurance:403(b) Retirement plan with immediate matching Life insuranceShort and long-term disabilityRecreation Benefits, Wellness & More:Up to $1,000 annual wellbeing reimbursementRecreation discountsPet insurance Pay is based upon relevant education and experience per hour.Hourly Pay:$22—$28.39 USD Vail Health, formerly Vail Valley Medical Center, is a nonprofit community health care system serving patients and guests from around the world. Locally operated and governed by a volunteer board of directors, Vail Health includes a 56-bed hospital, accredited by the Joint Commission. Our 24/7 emergency department in Vail is a Level III Trauma Center with a nearby helipad for necessary medical transports. Vail Health provides a wide array of services and access points including Beaver Creek Medical Center, urgent care clinics in Avon and Gypsum, our Edwards medical campus, Eagle Healthcare Center and a multispecialty clinic in Frisco. Howard Head Sports Medicine offers physical therapy services at 10 locations and works closely with our internationally renowned orthopaedic partners at The Steadman Clinic and Vail-Summit Orthopaedics. In addition, Vail Health's Shaw Cancer Center and Sonnenalp Breast Center are the region’s only fully accredited cancer treatment center and comprehensive breast center. The Vail Clinic, which was founded in 1965, officially became “Vail Valley Medical Center” in 1980, its first year as a full-service hospital. At that time, we had one primary locatio ...

n and 25 physicians. Today, Vail Health has locations in nine towns, nearly 1,000 employees, 260 physician partners and 85 volunteers. Vail Health is an equal-opportunity employer. The hospital is handicap accessible and adheres to the Americans with Disabilities Act. Smoking is prohibited in our facilities. This includes e-cigarettes.

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