Patient Financial Counselor; Hybrid

Job Details

Location:

Geisinger Wyoming Valley (GWV)
• Shift: Days (United States of America)
• Scheduled Weekly

Hours:

40
• Worker Type:
Regular
• Exemption Status:
No

Provides financial counseling either in person or via telephone for all patients within designated areas; admissions‑scheduled and/or elective, in/out surgeries and/or outpatient clinical services. Coordinates and completes patient billing and collection functions at the time of the initial interview, prior to services, and/or after the insurance carrier has paid. Maintains a close working relationship with the staff of the assigned clinical departments to ensure clear communication and handling of all patients’ financial needs.

Provides accurate and efficient service to patients, completing collections including co‑payments, deductibles, and remaining estimated balances at point of service (POS).

• Hybrid work location: 3 days work from home, 2 days on‑site at Geisinger Wyoming Valley Medical Center.
• Interview patients with inadequate or no insurance coverage to obtain suitable financial arrangements prior to services for admissions, in and out surgeries, and outpatient clinical departments.
• Follow Revenue Management policies and procedures regarding financial matters and payment arrangements.
• Conduct detailed discussions with patients, obtain information, and complete required tasks to determine patient eligibility for Medicaid and other federal, state, local government or private sources as appropriate.
• Meet patients one‑on‑one to discuss the price of care, their current financial situation, and obtain all pertinent demographic and financial data to ensure resolution of accounts.
• Serve as an advocate to educate patients on what to expect regarding financial matters.
• Be personally available to answer patient questions about financial, billing, and account status.
• Takes ownership of customer problems, ensuring timely resolution and patient satisfaction.
• Provide oversight for the assigned department and may serve as the first point of contact for the department regarding Patient Financial Services.
• Offer back‑up support and coverage for any department and provide report analysis to departments and areas not covered by a Coordinator.
• Act as a coordinator between all Revenue Management teams and departments, including Practice Consultants, Utilization Management, Care Management, Providers, Geisinger departments, clinical departments, and patients concerning financial counseling activity.
• Calculate patient outstanding balances and finalize resolution methods through pre‑service financial counseling, point of service collections, payment plans, or other arrangements.
• Perform accounts receivable review for special pricing packages and ensure appropriate allocation of funds; identify opportunities and provide trending information and recommendations.
• Prepare receipts for collected payments (both past and future).
• Promote day of service cash collections and collections of outstanding balances system wide.
• Request and assist patients by preparing pre‑service price estimations, educating on insurance benefits, and arranging mutually agreeable payment terms.
• Conduct research and follow‑up activities on assigned accounts per established procedures and time frames.
• Assist in maintaining control of self‑pay accounts receivables.
• Resolve accounts via charity, vendor referrals, financial status determination, and other options defined by Revenue Management policies and procedures.
• Perform troubleshooting activities surrounding Revenue Management financial advising and service issues and trends for assigned service lines.
• Manage assigned projects and tasks associated with these efforts.
• Assist physicians, insurance companies, employers, and others with requests concerning financial clearance and patient accounts for positive resolution.
• Coordinate efforts with other departments to resolve financial clearance, insurance, billing, collection, and related concerns and issues.
• Update Electronic Medical Records for all patients interviewed via billing systems and Geisinger approved guidelines.
• Advise supervisor of unusual situations, chronic…