Patient Financial Advisor

2 weeks ago


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

POSITION OVERVIEW:

Under the supervision of the Patient Financial Services Director, the Financial Counselor plays a crucial role in ensuring patients have a seamless financial experience. This position involves guiding patients through the complexities of insurance benefits and their potential financial responsibilities. The Financial Counselor serves as the primary contact for inquiries related to financial assistance.

KEY RESPONSIBILITIES:

1. Act as the main point of contact for all inquiries regarding financial assistance.

2. Engage with patients to gather and comprehend their financial, social, and medical backgrounds, along with other pertinent information.

3. Collect all necessary documentation to process financial assistance applications, including collaborating with healthcare providers on treatment plans and required medical opinions.

4. Maintain thorough records of all communications and follow-ups in the Electronic Medical Record (EMR) system, providing written confirmations to patients regarding payment arrangements as needed.

5. Evaluate patients' current financial situations by verifying their insurance benefits, acting as the expert in confirming coverage and reimbursement details.

6. Assess patients' financial capabilities and clarify their insurance coverage and benefits.

7. Initiate the financial screening process to determine eligibility for various assistance programs.

8. Aid patients in completing financial documentation and gathering necessary supporting materials.

9. Complete the referral process for patients identified as having financial risks.

10. Assess eligibility for care at Cibola General Hospital by reviewing patients' qualifications for Medical Assistance, Emergency Medical Assistance, Community Programs, and Government Programs.

11. Offer payment alternatives, which may include prepayment for elective procedures and applications for the hospital's financial assistance program.

12. Identify and assist patients in applying for eligible financial programs, ensuring all required documentation is completed for federal, state, or hospital-specific assistance.

13. Collaborate with providers to determine the urgency of care for patients facing significant financial burdens, influencing decisions on whether to proceed, postpone, or reschedule services.

14. Clearly explain the hospital's payment policies to patients when assistance programs are unavailable.

15. Calculate and communicate any patient liabilities prior to or at the time of service.

16. Counsel patients on out-of-pocket expenses, collecting deductibles, prepayments, and outstanding balances while adhering to established collection protocols, or develop suitable payment plans with patients.

17. If acceptable payment arrangements cannot be established for elective procedures, notify the provider and patient that services will be rescheduled or canceled.

18. Communicate the status of financial coverage and relevant decisions to all necessary parties, including patients, families, referring clinicians, and hospital staff.

19. Assist in managing self-pay accounts, initiating collection procedures when necessary, and sending notifications to patients regarding account statuses; ensure accounts are classified appropriately before collections if patients do not respond to outreach efforts.

20. Engage in ongoing education to stay informed about changes in the healthcare industry.

21. Foster effective working relationships and collaborate as part of a team to achieve departmental goals and objectives.

22. Uphold respect and dignity for all patients, families, visitors, and colleagues to maintain a professional and courteous environment.

23. Participate in community engagement activities and clinic events as required.

24. Perform additional duties as assigned.

EDUCATION AND EXPERIENCE:

1. High School Diploma or GED is required.

2. An Associate degree is preferred.

3. A minimum of two years of experience in healthcare revenue cycle management is preferred.

4. Proven experience in delivering high-quality customer service.

5. Strong organizational and time management skills, along with excellent verbal and written communication abilities.

6. Ability to work effectively as part of a team.

7. Quick learner with the capacity to build and maintain long-term relationships while working independently.

8. Proficient in computer skills.

9. High level of accuracy and attention to detail, with the ability to manage competing priorities effectively.

KNOWLEDGE, SKILLS, AND ABILITIES:

  1. Familiarity with medical billing and collection practices.
  2. Proficient in computer applications.
  3. Understanding of business office procedures.
  4. Basic knowledge of medical coding and third-party operating procedures.
  5. Ability to operate computers, basic office equipment, and multi-line telephone systems.
  6. Skill in providing pleasant and helpful telephone assistance.
  7. Ability to comprehend and follow both oral and written instructions.
  8. Capacity to establish and maintain effective working relationships with patients, colleagues, and the public.
  9. Highly organized and detail-oriented.

ADDITIONAL QUALIFICATIONS:

  1. Bilingual abilities (Spanish/English) are preferred.

REPORTING RELATIONSHIPS:

  1. Reports directly to the Patient Financial Services Supervisor.

PHYSICAL REQUIREMENTS:

  1. Ability to sit, stand, walk, or view a computer screen for extended periods.
  2. Ability to perform repetitive hand and wrist motions for prolonged durations.


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