Financial Counseling Specialist

University of Arkansas•Little Rock, AR

3d•Onsite

About The Position

The Financial Counseling Specialist (FCS) duties are to evaluate financial coverage for patients being considered for Complex Advanced Heart Failure procedures, to include therapies such as Infusions, Pulmonary Artery Sensors, Medication Therapies, and Ventricular Assist Device (VAD), including the pre-op and post-op period. The FCS will verify insurance benefits, including pharmacy, and obtain pre-authorization for services from third party payers. The FCS will also educate patients/family members, and/or care givers in a clinic setting and /or an inpatient setting on the financial requirements of AHF and/or VAD implantation.

Requirements

High School Diploma/GED PLUS six (6) years of experience in healthcare in a revenue cycle related function OR Bachelor’s degree in finance, business or related PLUS two (2) years of experience in healthcare revenue cycle or revenue cycle related function
Excellent computer, word processing, and business office skills.
Excellent language, communication and telephone skills.
Ability to organize and prioritize duties.
Proof of legal authority to work in the United States on the first day of employment.

Nice To Haves

Experience in healthcare organizations highly preferred.

Responsibilities

Performs thorough financial screening of eligible patients using tools developed by the Advanced Heart Failure Financial Counseling Specialist.
Researches, verifies, and documents patient insurance coverage and patient financial information.
Meets with the potential AHF therapy candidates, their families, and/or caregivers in an outpatient or inpatient setting to review the financial aspects of implantation.
Insures authorizations and referrals required are obtained prior to services rendered.
Serves as a resource for patients, family members and/or caregivers on financial matters and assists them with questions concerning insurance and other financial issues both before and after implantation.
Works with patients and other Advanced Heart Failure team members to address financial gaps and identify alternative funding options.
Acts as a contact for payers nurse case managers, UAMS contracts management, UAMS Hospital Billing Services and Professional Billing Services as requested.
Collects and submits necessary clinical documentation and correspondence to requesting parties in a timely manner.
Provides clinical updates to insurance nurse case managers as requested.
Acquires prior authorization for diagnostic testing/labs/physician visits for both pre and post VAD implantation patients as needed.
Performs and communicates related patient follow-up with team members.
Identifies, effectively communicates and accurately documents patient financial information to the Multidisciplinary Advanced Heart Failure Team.
Develops written patient financial profiles and presents at the weekly Advanced Heart Failure Team Conference.
Keeps financial profiles updated and accurate on all active patients.
Keeps the Advanced Heart Failure team apprised of any issues related to payer authorizations and reimbursements.
Reviews and identifies and manages all UAMS AHF patient charges to addresses all AHF patient account issues.
n skills; communicates accurate and complete information; maintains strict confidentiality when necessary.
Demonstrates positive working relationships with co-workers, management team, and ancillary departments; follows the Core Concepts of Patient and Family Centered Care and the Basic Code of Conduct Guidelines.
Assist internal and external stakeholders as needed with exceptional customer service.
Perform other duties as needed.