Patient Financial Counselor

Job Description

Join Ingalls Memorial Hospital as an Patient Financial Counselor at our Harvey, IL location. This position is a 100% onsite opportunity. You will need to be based in the greater Chicagoland area. In this role, the Patient Financial Counselor will be under the supervision of Patient Access Manager. The Patient Financial Counselor verifies, registers, schedules appointments and completes authorization for all third‑party payors according to industry, federal and state billing and collection regulations for all infusion and other hospital related services.

Maintains, abreast of all regulations affecting appropriate billing and collections of accounts, performs all clerical processing for completion and disposition of assigned accounts, handles patient, third‑party payor inquiries, makes necessary follow‑up on those arrangements ensuring compliance with appropriate hospital and departmental collection policies and procedures assuring satisfactory disposition of all encounters.

• Obtain/collect patient’s pertinent socioeconomic information
• Under general supervision, verifies all insurance information provided by patients to ensure accurate and complete information according to third party payors and department protocols for billing purposes.
• Identifies and verifies insurance benefits prior to patient service, when applicable.
• Assures precertification requirements are met
• Follow up with case managers, patient access and billing managers if special circumstances exist to ensure maximum reimbursement for Ingalls Memorial Hospital.
• Work closely with other hospital departments such as:
  Case Management, Medical Records, Admitting, Doctors’ offices, Surgery, Patient Financial Services etc.
• The ability to deal effectively, empathetically, but professionally with patients, Insurance Companies and the general public
• Supports team by assisting members to learn, develop and grow in their ability to contribute to results.
• Demonstrates a positive, supportive attitude when providing assistance to patients, family members
• Monitors quality and productivity measurements which facilitate cost effective operations
• Excellent Customer Service skills
• Follow up on daily correspondence
• Review of pre‑registered encounters and appointments to insure proper pre‑cert and authorizations
• Handling phone calls from insurance companies, doctor offices and internal departments
• Staying abreast of all insurance verification rules and regulations
• Maintain that all encounters needing verification is completed within 24 hours
• Requires the ability to handle a variety of task with speed, and attention to detail and accuracy

• High school graduate or equivalent
• Two (2) to three (3) years of demonstrated experience in hospital patient access, registration, or patient accounts
• With extensive knowledge in third party, payor/regulatory agency requirements.
• Working knowledge of computerized admission and accounts receivable systems
• Experience in basic computer software programs (Microsoft Word, Excel, and Outlook)
• Demonstrated ability to develop others in areas of continuous process improvement, customer service delivery and self‑directed teamwork
• Excellent customer service skills
• Typing competency essential, 40‑45wpm, and ten key calculator tests
• Requires the ability to handle a variety of tasks with speed and attention to detail and accuracy.
• Some Medical Terminology
• Good written and verbal communication skills
• Ability to follow and complete detailed directions
• Must be detail oriented
• Requires good analytical and problem‑solving ability

• Previous experience in a health care environment, preferably Central Scheduling, Call Center, Physician’s office and/or other related health care experience is desired

• Job Type/FTE:
  Full Time (1.00)
• Shift: Days
• Location:
  
  Ingalls Main Campus
  - Harvey
• Unit/Department:
  Insurance Verification
• CBA Code:
  Non
  -Union

For nearly a century Ingalls Memorial has pioneered sophisticated clinical care and developed the area’s most convenient network of comprehensive outpatient centers, all dedicated to improving the health and wellbeing of the community. Now, partnered…