Financial Counselor

We are seeking a highly skilled Financial Counselor to join our team at WVU Medicine. As a Financial Counselor, you will play a critical role in ensuring the financial viability of our organization by interpreting and applying financial policies, preparing and presenting fee estimates, and providing financial education to patients.

• Interview patients to determine financial counseling needs and develop plans for financial resolution
• Use CPT codes to calculate estimated procedure costs and determine patient eligibility for Medicaid, special programs, or payment arrangements
• Provide education to patients on their benefits, patient liability, and payment alternatives
• Inform patients of hospital and clinic billing practices/policies and their rights and responsibilities regarding payments
• Review completed financial statements and make determinations based on hospital policy regarding payment arrangements
• Work with specialty departments to establish financial arrangements for elective services
• Identify and resolve potential patient account issues for WVUH and UHA billing departments
• Monitor daily reports to identify large dollar account balances and private pay patients that need resolution
• Refer patients to local, state, and/or federal agencies for assistance
• Display an understanding of third-party payor regulations related to managed care, denials, and reimbursement issues
• Have a working knowledge of current hospital contracts with third-party payors
• Collect deposits, co-payments, deductibles, and patient liability payments when applicable
• Balance daily receipts and cash drawer for patient payments
• Follow up on accounts as indicated by system flags
• Maintain registration accuracy threshold of 98%
• Initiate auto accident liability coverage, ERSD screening, Veterans Administration eligibility screening, Black Lung SSI screening, Workers Compensation screening, and MSP screening

• High school graduate or equivalent
• West Virginia state criminal background check required, and Federal, if applicable, for DHHR BMS regulated area
• Two years' experience in a healthcare setting
• Typing speed of 25 words per minute

The work environment is an office-type environment with patient care environment.

• Ability to accurately utilize applicable computer software and equipment for access processing
• Demonstrates ability to follow established computer down time procedures
• Must have reading and comprehension ability
• Must be able to communicate effectively
• Must be able to read and write legible in English
• Excellent oral and written communication skills
• Working knowledge of computers
• Basic knowledge of medical terminology
• Basic knowledge of third-party payors preferred
• Basic knowledge of time of service collection procedures preferred
• Basic knowledge of business math preferred
• Basic knowledge of ICD-9 and CPT coding preferred
• Excellent customer service and telephone etiquette
• Must demonstrate the ability to use tact and diplomacy in dealing with others