Financial Counselor

2 weeks ago


Miami Beach, Florida, United States Mount Sinai Medical Center Full time

As Mount Sinai grows, so does our legacy in high-quality health care.

Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.

Culture of Caring: The Sinai Way

Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.

Department:

CC019046 MS Cancer Center Patient Access

Job Description Summary:

Position Responsibilities
  • Reviews census report daily and analyze accounts to find and pursue all avenues of reimbursement.
  • Collects self-pay balances on all in-house patients, establishes payment arrangements according to policy and determines cases for outside funding referrals.
  • Advises manager of payment problems and insurance company, attorney or other third party requests for negotiation.
  • Reviews in-house high dollar accounts on the census report weekly for appropriate follow-up to ensures timely reimbursement.
  • Maintains productivity and cash goals as set by manager.
  • Maintains a working knowledge of collection guidelines, HIPPA, Cobra and EMTALA guidelines. Attends all corporate compliance programs and seminars/educational programs that maintain an awareness of laws and regulations affecting the department.
  • Maintains courteous and cooperative working relationships with all levels of management, employees, physicians, patients and guarantors and the general public.
  • Refers patients and guarantors to sources of outside funding. Assists with eligibility determination process by coordinating referrals between the social workers, agency representatives and guarantors.
  • Evaluates guarantor's ability to pay. Prepares and recommends accounts for charity or bad debt for management review.
  • Documents all activity from phone calls, walk-ins and correspondence on assigned accounts daily.
  • Must be able to adjust schedule to department and patient needs.
  • Presents a well groomed professional image. Keeps own work area and common are clean and well organized.
  • Researches all accounts assigned by the manager/director in a timely manner.
  • Research Search America for correct processing of patients for Financial screening.
  • Complete all charity applications for financial approval by the Business Office.
Qualifications
  • License/Registration/Certification
  • Not applicable

  • Education
  • High School Graduate

  • Experience
  • One year working in a hospital/physician's office environment preferred. One year experience in computer usage.

Benefits:

We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:

  • Health benefits
  • Life insurance
  • Long-term disability coverage
  • Healthcare spending accounts
  • Retirement plan
  • Paid time off
  • Pet Insurance
  • Tuition reimbursement
  • Employee assistance program
  • Wellness program
  • On-site housing for select positions and more

Degree Requirements:

Certification:

Responsibilities:

Core: Acts as the primary point of contact for visitors, clients and/or providers. Assists with information and customer support as required., Core: Acts as the primary point of contact for visitors, clients and/or providers. Assists with information and customer support as required., Core: All other tasks as assigned., Core: Assists co-workers and management staff with departmental projects on an on-going basis. Supports the implementation of special projects and provides assistance with daily issues or problems such as high workload volumes, order shortages and emergency situations., Core: Assists customers and staff in the understanding and compliance of Hospital policies and procedures. Provides information as required and /or refers inquiries to the appropriate party., Core: Complies with current Hospital security and safety polices., Core: Follows up with customers, visitors and staff to ensure the timely and appropriate resolution of any requests, issues or complaints., Core: Investigates diverse sources of information for inquiries and problem resolution. Provides accurate and updated information., Core: Maintains administrative information organized and accessible. Keeps track of departmental occurences as required., Core: Reports incidents to supervisor and Risk Management department within required timeframe in accordance with medical center policy., Core: Responds quickly and effectively to constantly changing priorities in short periods of time., Core: Screens telephone calls and receives direct visitors, directing them appropriately and with a sense of urgency., Job Specific: Advises manager of payment problems and insurance company, attorney or other third party requests for negotiation., Job Specific: Collects self-pay balances on all in-house patients, establishes payment arrangements according to policy and determines cases for outside funding referrals., Job Specific: Complete all charity applications for financial approval by the Business Office., Job Specific: Documents all activity from phone calls, walk-ins and correspondence on assigned accounts daily., Job Specific: Evaluates guarantor's ability to pay. Prepares and recommends accounts for charity or bad debt for management review., Job Specific: Maintains a working knowledge of collection guidelines, HIPPA, Cobra and EMTALA guidelines. Attends all corporate compliance programs and seminars/educational programs that maintain an awareness of laws and regulations affecting the department., Job Specific: Maintains courteous and cooperative working relationships with all levels of management, employees, physicians, patients and guarantors and the general public., Job Specific: Maintains productivity and cash goals as set by manager., Job Specific: Must be able to adjust schedule to department and patient needs., Job Specific: Presents a well groomed professional image. Keeps own work area and common are clean and well organized., Job Specific: Refers patients and guarantors to sources of outside funding. Assists with eligibility determination process by coordinating referrals between the social workers, agency representatives and guarantors., Job Specific: Researches all accounts assigned by the manager/director in a timely manner., Job Specific: Research Search America for correct processing of patients for Financial screening. {+ 1 more}



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