Financial Counselor

Financial CounselorOptum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.
As a Financial Counselor, we are often the first point of contact for our patients and their families. As such we value representing an important first impression. Our professionalism, expertise and dedication help ensure that our patients receive the quality of care they need. We are diligent in obtaining complete and accurate insurance and demographic information in a timely manner, this enables us to provide high quality, compassionate health care service to all who need them, regardless of their ability to pay.

Location:
350 W Thomas Road, Phoenix, AZ 85013Schedule: Monday
- Friday
- 8 AM
- 4:30 PM with rotating weekendsPrimary

Responsibilities:
Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation unitsEnsures complete, accurate and timely entry of demographic information into the ADT system at the time of registrationProperly identifies the patient to ensure medical record numbers are not duplicatedResponsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and completeMeet CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements, as applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposesCollects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information to ensure appropriate reimbursementCarefully reviews all information entered in ADT on pre-registered accountsVerifies all information with patient at time of registration; corrects any errors identifiedIdentify all forms requiring patient/guarantor signature and obtain signaturesEnsures all required documents are scanned into the appropriate system(s)Identifies all appropriate printed material hand-outs for the patient and provides them to the patient/guarantor (Patient Rights and Responsibilities, HIPAA Privacy Act notification, Advance Directive, etc.)Follows 'downtime' procedures by manually entering patient information; identifying patient's MRN in the MPI database, assigning a financial number; and, accurately entering all information when the ADT system is liveAssesses self-pay patients for presumptive eligibility and when appropriate initiates the processMonitors and addresses tasks associated with the Mede/Analytics PAI toolFollows approved scripting, verify insurance benefits on all patients registered daily by using electronic verification systems or by contacting payers directly to determine the level of insurance coverageThoroughly and accurately documents insurance verification information in the ADT system, identifying deductibles, copayments, coinsurance, and policy limitationsObtains referral, authorization and pre-certification information; documents this information in the ADT system and submit notices of admission when necessaryVerifies medical necessity checks have been completed for outpatient services. If not completed and only when appropriate, uses technology tool to complete medical necessity check and/or notifies patient that an ABN will need to be signedIdentifies payer requirements for medical necessityVerifies patient liabilities with payers, calculates patient's payment, and requests payment at the time of registrationIdentifies any outstanding balance due to previous visits, notifies patient and requests patient paymentSets up payment plans for patients who cannot pay their entire current copayment and/or past balance in one paymentThoroughly and accurately documents the conversation with the patient regarding financial liabilities and agreement to payWhen collecting patient payments, follows department policy and procedure regarding applying payment to the patient's account and providing a receipt for paymentClarifies division of financial responsibility if payment for services is split between a medical group and an insurance company. Ensure this information is clearly documented in the ADT systemWhen necessary, escalate accounts to appropriate Patient Registration leadership staff, based on outcomes of the verification process and patient's ability to payWhat are the reasons to consider working for UnitedHealth Group? Put it all together
- competitive base pay, a full a