JOB SUMMARY

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The Financial Counselor is responsible for performing financial clearance functions, including but not limited to, verifying insurance eligibility and benefits, ensuring authorizations and providing price estimates. This position facilitates resolution in disputed billing issues which require intense interaction with patients. This position also serves as subject matter expert in financial assistance policies, facility point of service collections and provides support on special projects.

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SHIFT AND SCHEDULE

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Full Time: Monday to Friday 8:30 am to 5:00 pm

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ESSENTIAL FUNCTIONS OF THE ROLE

\n\nWorks closely with facility leadership to ensure all patients are financially cleared and screened.\nConducts patient interviews to obtain demographic and financial data for registration, insurance verification, pre-certification and billing.\nRecords accurate patient demographic information when reviewing previous accounts and accounts with future dates of service.\nFollows and acts on several complex system policies (financial assistance, limited plan, point of service, out of network, etc.)\nObtains and screens guarantor financial information for financial assistance and or refers patient to appropriate resource for public assistance programs.\nProvides estimates of procedures and services, calculates payment requirements, and negotiates pre-service payments according to financial clearance requirements.\nEstablishes payment arrangements for future and previous services.\nReviews future schedule to ensure pre-authorization and pre-payments have been collected.\nAssists with contacting physician office and patient in order to ensure pre-authorization and referral requirements are met prior to the date of service.\nReviews and interprets explanation of benefits received from payers in order to assist patients and guarantors with understanding of claims processing or denial of services by payer.\n\n

KEY SUCCESS FACTORS

\n\n3 years of healthcare experience or education equivalency required.\nProven ability to problem-solve, perform critical thinking.\nRequires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.\nAbility to maintain a professional demeanor in a highly stressful and emotional environment, to include crime, behavioral health and suffering patients in addition to life or death situations.\nMust be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills.\nDemonstrates ability to manage multiple, changing priorities in an effective and organized manner.\nExcellent data entry, numeric, typing and computer navigational skills.\nBasic computer skills and Microsoft Office and Excel.\n\n

BENEFITS

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Our competitive benefits package includes the following

\n\nImmediate eligibility for health and welfare benefits\n401(k) savings plan with dollar-for-dollar match up to 5%\nTuition Reimbursement\nPTO accrual beginning Day 1\n\n

Note: Benefits may vary based upon position type and/or level

QUALIFICATIONS

EDUCATION - H.S. Diploma/GED EquivalentEXPERIENCE - 3 Years of Experience