Current jobs related to Financial Counselor - Grants, New Mexico - Cibola General Hospital

Job Summary:

Cibola General Hospital seeks a skilled Financial Counselor to provide patients with a positive financial experience by helping them navigate and understand insurance benefits and potential financial liability. As the patient's point of contact for financial assistance questions, the Financial Counselor will collect payments, set up payment arrangements, create estimates, and advise patients on their insurance benefits and coverage.

Key Responsibilities:

1. Serve as the point of contact for all financial assistance related questions.
2. Communicate with patients to identify and understand their financial, social, and medical histories.
3. Gather all relevant information required to process financial assistance requests.
4. Document all communication and follow-up in the EMR and send written confirmation to patients regarding payment arrangements.
5. Assess the current financial situation of patients through the verification of patient insurance benefits.
6. Determine the patient's financial ability to pay and explain insurance coverage and benefits.
7. Initiate the financial screening process as appropriate to evaluate eligibility for assistance programs.
8. Assist patients in completing financial statements and gathering supporting financial documentation.
9. Complete the referral pattern for patients with financial risk.
10. Determine eligibility for care at CGH by assessing patient eligibility for Medical Assistance, Emergency Medical Assistance, Community Programs, and Government Programs.
11. Assess and offer payment alternatives, including prepayment for elective care and applying for CGH's financial assistance program.
12. Identify eligible financial programming options and assist in completing necessary documentation for specific federal, state, or CGH financial assistance programs.
13. Explain CGH's payment policy to patients if a program is not available to assist with payment.
14. Calculate and explain any patient liability before or at the time of service.
15. Counsel patients on out-of-pocket liabilities and collect deductibles, pre-payments, and outstanding balances following established collection procedures.
16. Create payment plans with patients and document agreements appropriately.
17. Communicate financial coverage status and applicable financial decisions with all appropriate parties.
18. Maintain self-pay accounts, initiate collection procedures when necessary, and send letters to patients regarding account status.
19. Pursue education opportunities to remain current with changes in the healthcare industry.
20. Promote effective working relations and work effectively as part of a team to facilitate the department's ability to meet its goals and objectives.
21. Demonstrate respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
22. Attend on-site/off-site community engagement activities and on-site/off-site clinic events as needed.

Requirements:

1. High School Diploma/GED required.
2. Associate degree preferred.
3. Two years' experience in healthcare Revenue Cycle preferred.
4. Experience in providing high-level customer service.
5. Excellent organization and time management skills, along with excellent oral and written communication skills.
6. Strong team player.
7. Ability to learn quickly, build and maintain long-term relationships, and work with minimal supervision.
8. Proficient computing skills.
9. High level of accuracy and attention to detail, flexibility, and ability to attend to competing priorities in an effective and timely manner.