Financial Counselor

4 weeks ago

Prescott Valley, United States CommonSpirit Health Full time

Overview:

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Responsibilities:

Responsible for analyzing patients financial status and determining eligibility for insurance enrollment and/or financial assistance programs. Responds to telephone and written inquiries related to patient accounts. Assists patients with questions and concerns, explains charges and responds to other related inquiries.

  • Meets with patients regarding account balances for inpatient, emergency and outpatient services and conducts interviews with patients or responsible individuals to determine financial status and eligibility for insurance enrollment and/or financial assistance programs.
  • Assists patients via telephone and/or written response regarding account/claim status inquiries. Responds professionally and within appropriate timeframes to all inquiries.
  • Collects accurate payment amounts and posts payments in the appropriate system. Processes credit card payments on the appropriate terminal. Delivers an accurate day end deposit and reconciliation sheet with all out of balance issues resolved within one (1) business day.
  • Reviews program guidelines and assists patients or responsible individuals with financial assistance applications. Gathers required documentation and processes applications in accordance with hospital policy, including, but not limited to credit history evaluation and verification of property ownership and income. Analyzes financial information to determine eligibility and level of discount. Mails out financial assistance letters and applications to patients as needed.
  • Responsible for ensuring collection of self-pay accounts not paid at time of discharge,
    until such time they are either paid in full or referred to outside collectors. Follows
    established collection procedures including written correspondence and/or telephone
    calls.
  • Consistently reviews past due bills and follow-up documentation in an efficient and thorough manner, ensuring accuracy and completeness of account information. Assists in reconciling accuracy with outside vendors.
  • Generates bills or re-bills claims to insurance companies. Conducts timely follow up with insurance companies regarding claim processing and payment status.
  • Assists patients in establishing payment or settlement plans in accordance with the payment plan policy.
  • Assists in enrollment of qualifying patients in AHCCCS and/or other insurance programs.
  • Participates in business division meetings, performance improvement activities and committees as assigned. Utilizes issues log when necessary.
  • Provides back up to the front desk as needed.
  • Other job duties as assigned.
Qualifications:
  • High School graduate or GED
  • One year of hospital or clinic insurance billing or collection experience
  • One year of healthcare customer service experience; hospital business office preferred
  • General knowledge of charity, bad debt and collection procedures
  • Certified Application Counselor certification obtained within six months of hire
  • Basic knowledge and understanding of State Medicaid program
  • Excellent interpersonal skills and the ability to effectively communicate verbally and in writing providing excellent customer service
  • Excellent organizational skills and the ability to handle multiple priorities/tasks simultaneously in a fast paced environment
  • Ability to maintain acute attention to detail
  • Basic computer literacy and proficiency in Microsoft Windows
  • Basic proficiency with MS Office (Outlook, Word, Excel)
  • Experience with insurance billing computer applications preferred

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