Senior Financial Services Coordinator

4 days ago

Grants Pass, Oregon, United States Cibola General Hospital Full time
Job Summary

As a Financial Counselor at Cibola General Hospital, you will play a vital role in providing patients with a positive financial experience by helping them navigate and understand their insurance benefits and potential financial liability. You will be the patient's primary point of contact for financial assistance questions, working closely with the Patient Financial Services Director to ensure seamless communication and support.

This is an opportunity to make a meaningful difference in the lives of our patients by providing them with the guidance and support they need to manage their medical expenses. If you are a motivated and detail-oriented individual with excellent communication skills, we encourage you to apply for this role.

Key Responsibilities
  1. Serves as the primary point of contact for all financial assistance related questions.
  2. Communicates with patients to identify and understand their financial, social, and medical histories and other relevant patient information.
  3. Gathers all relevant information required to process financial assistance requests, including working with providers on treatment plans, best practices, and necessary medical opinions.
  4. Documents all communication and follow-up in the Electronic Medical Record (EMR) and sends written confirmation to patients regarding payment arrangements, as applicable.
  5. Assesses the current financial situation of patients through the verification of patient insurance benefits, serving as the technical expert in confirming patients' benefit coverage and hospital reimbursement.
  6. Determines the patient's financial ability to pay and explains insurance coverage and benefits to the patient.
  7. Initiates the financial screening process as appropriate to evaluate eligibility for assistance programs.
  8. Assists patients in completing financial statements and gathering supporting financial documentation.
  9. Completes the referral pattern for patients with financial risk.
  10. Determines eligibility for care at Cibola General Hospital by assessing patient eligibility for Medical Assistance, Emergency Medical Assistance, Community Programs, and Government Programs.
  11. Assesses and offers payment alternatives, which may include prepayment for elective care, and applies for Cibola General Hospital's financial assistance program.
  12. Identifies eligible financial programming options and assists in completing all necessary documentation for specific federal, state, or Cibola General Hospital financial assistance programs.
  13. Works with providers to determine the urgency of scheduled care for patients with large financial liabilities, resulting in a decision to proceed, hold, reschedule, etc.
  14. Explains Cibola General Hospital's payment policy to patients if a program is not available to assist with payment.
  15. Calculates and explains any patient liability before or at the time of service.
  16. Counsels patients on out-of-pocket liabilities and collects deductibles, pre-payments, and outstanding balances following established collection procedures or creates a payment plan with the patient and documents the agreement appropriately.
  17. If unable to establish acceptable payment arrangements for elective procedures, informs the provider and patient that services will be rescheduled or cancelled.
  18. Communicates financial coverage status and applicable financial decisions with all appropriate parties: patient, family, referring clinicians, and Cibola General Hospital clinicians.
  19. Maintains self-pay accounts, initiates collection procedures when appropriate, and sends out letters to patients regarding the status of the accounts; places accounts in the financial class needed before the account goes to collections if patients do not respond to calls and letters.
  20. Pursues and participates in education opportunities to remain current with changes in the healthcare industry.
  21. Promotes effective working relations and works effectively as part of a team to facilitate the department's ability to meet its goals and objectives.
  22. Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
  23. Attends on-site/off-site community engagement activities and on-site/off-site clinic events as needed.
  24. Performs other duties as assigned.

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