Counselor-Finance

Baptist • Columbus, MS

25d

About The Position

Ensures collection of patient balances, deductibles and co-pays in an accurate and timely manner. Serves as a resource to patients, families, and employees to discuss financial arrangements and properly explain patient financial obligation. Assists patients with any applicable financial assistance programs. Performs a treatment initiation approval process by review of ordered/prescribed services relating to insurance coverage policies and pre-certification/authorization requirements, while securing amicable payment arrangements. Performs other duties as assigned.

Requirements

• Three years of business related office experience with one of those years being in a clinical setting.
• One year minimum experience performing pre-certification/authorization functions within a hospital and/or clinic environment.
• High school diploma or equivalent required.
• Skill in communicating clearly and effectively using standard English in written, oral, and verbal format to achieve high productivity and efficiency.
• Excellent customer service and communication skills.
• Ability to speak, articulate, and be understood clearly.
• Skill to write legibly and record information accurately as necessary to perform job duties.
• Basic computer skills to include MicroSoft office literacy knowledge required.
• Ability to perform basic math computation.
• Dealing with confrontational issues and high stress situations with patients, family, and physicians.
• Strong quantitative, research, analytical, problem solving, and organizational skills.
• Must have team - oriented work ethic with strong interpersonal skills.
• Prioritizes and performs work responsibilities independently or with a minimum of supervision.

Nice To Haves

• Five years of business experience in a clinical setting environment.
• Front-end collections experience desired.
• Associates degree or two years of college level courses.
• Three years of business experience in a clinical setting environment.
• Knowledge of EPIC application of cash postings and registration processes.
• Insurance verification processes using Real Time Eligibility, Passport Communications, and additional on-line verification processes.
• Knowledge of pre-certification requirements and guidelines.
• Knowledge of medical coding methodologies.
• CHAA;RHIT

Responsibilities

• Acts as a liaison with insurance companies to assist in obtaining insurance information
• Advises patients and family members with regards to next steps or processes for securing financial coverage.
• Together with the Director of Managed Care Contracting participate in negotiating one time single case agreements, including contractual provisions and rates with payers and coordinate implementation.
• Review and verify all charges flagged as pre-transplant/evaluation charges for potential recipients and/or waitlisted patients by managing related EPIC workqueue(s).
• Collaborates with Finance staff and Managed Care Contracting staff to ensure proper billing of accounts under global contracts/Center of Excellence agreements
• Expedites patient flow through prompt and courteous service.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED