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Financial Counselor

2 months ago

Houston, Texas, United States CommonSpirit Health Full time
Job Summary

Baylor St. Lukes Medical Center is a leading healthcare provider that has made significant contributions to medical research and clinical excellence. Our commitment to advancing healthcare standards has led to the creation of innovative treatments and programs that set us apart from other healthcare providers. Our new McNair Campus is designed to provide a safe and patient-centered environment, with a focus on evidence-based practices. Our collaboration with Texas Heart Institute and Baylor College of Medicine enables us to offer a powerful network of care to our patients.

Key Responsibilities
  • Responsible for financially clearing patients prior to services, at the bedside, and at discharge to obtain the patient's portion of financial obligation.
  • Determine eligibility for the hospital's various financial assistance programs.
  • Perform exemplary collection functions and financial assistance for self-pay, managed care/insurance accounts with large deductibles/co-pays/co-insurance, Medicare deductible and co-pays.
  • Collect and/or negotiate point of service payments (co-pays, deductibles, self-pay amounts) or link to financial assistance programs.
  • Clearly record and maintain complete documentation of activities performed in account notes and other databases.
  • Answer incoming calls and provide resolution or direct to the appropriate party for resolution/action.
  • Convey estimates of the patient responsibility portion of the billed cost of service to patients under deductible, coinsurance, and standard co-pay benefit designs based on established charge estimates for common procedures either in writing or verbally.
  • Counsel patients regarding their third-party coverage, financial responsibility, and billing procedures.
  • Review patient account summaries of unbilled charges, billing, payments, and collection activities.
  • Obtain all forms required for patients potentially qualifying for financial assistance.
  • Review and monitor accounts for inpatients and initiate proper action.
  • Compose various correspondence related to reimbursement and billing procedures.
  • Screen and inform patients of various healthcare financial assistance programs.
  • Contact external and internal customers requiring assistance with billing inquiries and answer all telephone inquiries.
  • Responsible for obtaining HINN, ABN, LTR letter.
  • Assist with departmental coverage (registration) as needed.
Qualifications
  • High School Diploma / GED
  • Two (2) years of experience