Financial Counselor

Overview

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

Wage compensation - Min: $ 24.65 Max: $ 37.75

Schedule 1 - Mon - Fri 9am to 5:30pm

Schedule 1 - Mon - Fri 9:30am to 6pm

Definition Of Position

The Patient Financial Counselor is responsible for working accounts to ensure they are resolved in a timely manner. This 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

Overview

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

Wage compensation - Min: $ 24.65 Max: $ 37.75

Schedule 1 - Mon - Fri 9am to 5:30pm

Schedule 1 - Mon - Fri 9:30am to 6pm

Definition Of Position

The Patient Financial Counselor is responsible for working accounts to ensure they are resolved in a timely manner. This 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

Responsibilities

Essential Job Functions:

• Representative must be able to work independently as well as work closely with management and team to take appropriate steps to resolve a 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
• Conducts 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…