Financial Counselor E&E RC - North Fulton, Kennestone, Spalding

Location: Edina
Financial Counselor E&E RC - North Fulton, Kennestone, Spalding page is loaded## Financial Counselor E&E RC - North Fulton, Kennestone, Spaldinglocations:
North Fulton Hospital time type:
Full time posted on:
Posted Todayjob requisition :
JR-53803
** Work Shift
** Day (United States of America)##
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* Job Summary:

**** This position represents Wellstar facilities in financial matters, including assistance with Medicaid Eligibility & Enrollment (E&E).  The Financial Counselor E&E RC focuses on enhancing the patient experience by screening for eligibility for federal and state programs, facilitating the approval process.
**** In addition to verifying patient eligibility and facilitating the approval process for Medicaid benefits/Government programs, they will be responsible for ensuring compliance with all relevant regulations. The Financial Counselor E&E RC requires a thorough understanding of Medicaid regulations, Social Security Disability, and Eligibility & Enrollment processes.  Responsibilities include updating patient accounts during all phases of care, assisting with federal/state program applications, following up to secure approvals, and minimizing financial risk by identifying accurate program(s) and benefits.
** Strong organizational skills are required. Sorts, files and maintains various documents and electronic records.. Assists with general hospital information and directions to departments both internally and externally . Dresses in appropriate business attire. Strong verbal and written communication skills are required. Responsible for responding to patient inquiries regarding charges and account settlement.##
** Core Responsibilities and

Essential Functions:

** Financial    Collects the estimated financial responsibility for current services as well as any outstanding guarantor balances, regardless of patient class at the earliest possible collection control point.
Monitors in-house accounts and makes financial arrangements with guarantors for payment of their full financial responsibility prior to discharge.
Communicates with Medicaid Eligibility Vendor to determine eligibility and approval/ denial status, as needed. For discharged referrals, contact by phone or letter within 10 days of referral.
Completes financial evaluation forms to document guarantors' income, expenses, assets and liabilities.
Identifies those patients without adequate insurance coverage. Makes personal contact with guarantor to determine guarantor's ability to pay non-covered charges, as well as to determine potential eligibility for financial assistance programs. (i.e. Medicaid).
Maintains a list of health care financial assistance programs and the eligibility requirements for each program. Refers patients/guarantors to sources of outside funding assistance, distributes financial assistance (i.e. Medicaid) applications as needed.
Works efficiently and accurately within designated time frames to ensure a continuity of information and cash flow.
Interviews guarantors at time of registration, or at least within 24 hours of admission, to verify complete insurance and financial information. Explain financial options,and collect the estimated financial responsibility.
Documents concise and understandable notes regarding all collection activity, as well as each patient or guarantor interaction. Documents all efforts to collect guarantor account balances, other self-pay collection activities and referrals to Medicaid.
Coordinates financial counseling activities with Admitting, Outpatient Registration, Emergency Registration, Utilization Review, Nursing, Social Services, and Patient Financial Services.
Verifies insurance coverage and benefits.
Consistently meets or exceeds department productivity standards. Formally reports results of collection activity to direct supervisor, daily or according to policy. Provides feedback to PAS management concerning collection and data integrity issues.
Responsible for completion of appropriate errors and issues in Work queues.  Quality/ Safety    Reviews daily census and/or applicable work queues and visits hospital patients when appropriate, verifies patient coverage, benefits, and collects estimated patient liable amounts.
Interviews each patient or representatives to obtain complete and accurate demographic, financial and insurance information.
Obtains all necessary signatures and is knowledgeable regarding any special forms that may be required by the patients third-party payer.
View charges to determine financial estimates and collects appropriate co-pays/ and or deductibles.
Makes corrections and updates patient account information in computer.
Documents thorough explanatory notes on patient accounts, concerning any non-routine circumstances, clarifying special billing processes.
Maintains a working knowledge of available information system capabilities and performs all system applications that are required.
Understands and applies WHS philosophy and objectives, and Well Star and any departmental. policies and…