Financial Counselor 1

Community Health Systems•Crestview, FL

19d

About The Position

The Financial Counselor I under the leadership and guidance of the Customer Service Manager, communicates with guarantors and collection agencies, as necessary, to obtain settlement of outstanding balances for hospital services. Provides support in assisting patients and family members with resolution of their financial needs by establishing payment arrangements or financial assistance determination. Includes payment-in-full settlements, charity application processing. Serves as a liaison on behalf of hospital and patient. Essential Functions Assists customers with resolving financial needs, including payment arrangements per hospital policies. Facilitates payment-in-full settlements, obtaining manager approval for higher dollar amounts. Determines Financial Assistance eligibility by completing charity applications and maintaining patient communication (via phone and written correspondence). Processes account close and return reports from Eligibility Screening Services (ESS) and take appropriate next steps based on insurance eligibility. Reviews self-pay financial class reports and change reports to evaluate accounts for charity eligibility and ensure proper account handling (notes, financial class, payments, adjustments). Verifies that self-pay discounts have been applied accurately and review overall account status in the revenue cycle. Assists with special projects and reports as assigned Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards.

Requirements

H.S. Diploma or GED required
0-2 years of experience in hospital, physician business office or revenue cycle center required
Knowledge of insurance collection follow-up or self-pay collections experience
Knowledge about EOB, Remits, and UB-04s.
Intermediate knowledge of Microsoft Office tools or Google platforms
Excellent communication skills
Customer service background
Excellent date entry skills
Ability to work well under pressure
Willingness to exercise judgment and independence
Ability to work independently and as a team
Demonstrates knowledge of adding insurance, ordering instant adjustments, initiating rebills, and collaborating with relevant departments for claim resolution.

Nice To Haves

of experience in hospital, physician business office or revenue cycle center preferred
Experience in call center with background of productivity expectations with high call volumes including customer correspondence preferred
Experience with medical revenue cycle processes from scheduling through agency placement and final account disposition preferred

Responsibilities

Assists customers with resolving financial needs, including payment arrangements per hospital policies.
Facilitates payment-in-full settlements, obtaining manager approval for higher dollar amounts.
Determines Financial Assistance eligibility by completing charity applications and maintaining patient communication (via phone and written correspondence).
Processes account close and return reports from Eligibility Screening Services (ESS) and take appropriate next steps based on insurance eligibility.
Reviews self-pay financial class reports and change reports to evaluate accounts for charity eligibility and ensure proper account handling (notes, financial class, payments, adjustments).
Verifies that self-pay discounts have been applied accurately and review overall account status in the revenue cycle.
Assists with special projects and reports as assigned
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.