Financial Counselor

Overview

Employer paid benefits - Medical, Dental, and Vision (qualifying dependents included)

Wage compensation - Min: $ 24.65 Max: $ 37.75

Schedule - Mon - Fri 9am to 5:30pm, Mon - Fri 9:30am to 6pm

The Patient Financial Counselor is responsible for working accounts to ensure they are resolved in a timely manner. The candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment. Representatives will need to effectively follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities.

Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. An effective revenue cycle process is achieved by working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving accounts with minimal assistance.

• Representative must be able to work independently as well as work closely with management and team to take appropriate steps to resolve self-pay accounts.
• Respond timely to emails and telephone messages from patients, physicians, attorneys, and team members as needed.
• Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys, and team members as needed.
• Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions.
• Access payer websites and discern pertinent data to resolve self-pay accounts.
• Conduct appropriate account activity on uncollected account balances by contacting patients via phone, e-mail, or online.
• Screens patients to verify eligibility for available hospital and government assistance programs.
• Complies with hospital collections policies regarding the creation of payment agreements on accounts.
• Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends. Requests for additional information from patients.
• Take appropriate action to bring about account resolution timely or open a dispute record to have the account further researched and substantiated for continued collection.
• Maintains worklists current without backlog while achieving productivity and quality standards.
• Document clear and concise notes in the patient accounting system regarding self-pay status and any actions taken on an account.
• Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership.
• Identify and communicate any issues including system access, payor behavior, account work‑flow inconsistencies or any other insurance collection opportunities.
• Provide support for team members that may be absent or backlogged.
• Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/problem aged account timely to manager.
• Perform special projects and other duties as needed. Assists with special projects as assigned, documents, findings, and communicates results.
• The employee supports the hospital mission, vision, values, policies, and procedures.
• Participates in required education for DNV programs as applicable to position (reference program education curriculum).
• Performs other related duties as assigned.

Minimum years of experience
: 2 years hospital collection experience preferred.

Bilingual and/or English-Spanish speaking preferred. Ability to work with culturally diverse population.

Required
:
High School Diploma or equivalent.

Preferred
: NA

Required
: NA

Preferred
: NA

Required
: NA

Preferred
: NA

NA

Prolonged periods of sitting at a desk and working on a computer. Occasional walking, standing, bending, or lifting light office items (up to 25 pounds). Visual acuity to view computer screens and read detailed financial documents. Ability to…