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:
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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.
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Respond timely to emails and telephone messages from patients, physicians, attorneys, and team members as needed.
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Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys, and team members as needed.
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Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions
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Access payer websites and discern pertinent data to resolve self-pay accounts
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Conducts appropriate account activity on uncollected account balances by contacting patients via phone, e-mail, or online.
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Screens patients to verify eligibility for available hospital and government assistance programs.
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Complies with hospital collections policies regarding the creation of payment agreements on accounts.
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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.
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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.
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Maintains worklists current without backlog while achieving productivity and quality standards.
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Document clear and concise notes in the patient accounting system regarding self-pay status and any actions taken on an account
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Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership
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Identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities
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Provide support for team members that may be absent or backlogged
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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.
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Perform special projects and other duties as needed. Assists with special projects as assigned, documents, findings, and communicates results.
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The employee supports the hospital mission, vision, values, policies, and procedures.
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Participates in required education for DNV programs as applicable to position (reference program education curriculum).
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Performs other related duties as assigned.
Qualifications:
Qualifications:
Minimum of 2 years hospital collection experience preferred.
Bilingual and/or English Spanish speaking preferred. Ability to work with culturally diverse population.
Education
Required: High School Diploma or equivalent.
Preferred: NA
Licenses/ certifications/ registrations
Required: NA
Preferred: NA
Experience
Required: NA
Preferred: NA
Other: NA
Physical Requirements:
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 communicate effectively in person, by phone, and electronically. May be required to move throughout the healthcare facility, including administrative and clinical areas.
Working Conditions:
This position operates in a professional office setting within a healthcare facility. The role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The office environment is climate-controlled, well-lit, and ergonomically designed for extended computer work. While this role is primarily office-based and does not involve direct patient care, the employee may occasionally be present in clinical areas or interact with staff working in clinical environments. As such, there is a potential for exposure to infectious diseases. The organization provides appropriate training and personal protective equipment (PPE) as needed to ensure safety.
