Financial Counselor III

Emory Healthcare•Atlanta, GA

1d•Onsite

About The Position

The Financial Counselor III position supports The Emory Clinic outpatient and Patient Financial Services operations with overall care coordination for patients, serving as their primary point of contact for all customer service, administrative and scheduling needs. They act as the liaison for the patient and family, working with both administrative and clinical staff from multiple departments to improve the patient's overall experience with Emory Healthcare. Position enhances the patient experience by serving as the primary point of contact and administrative care coordinator for established patients and/or family members. They ensure that all related patient appointments for an episode of care are secured in a timely manner and coordinated for patient convenience and address and resolve process or administrative issues impeding timely access to care. Monitors in-house accounts to improve revenue and timely payment of claims. Performs cost estimates and follow guidelines associated with pre-payment process. Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by Emory Healthcare. Financial Counselor III position must have knowledge of all aspects of Emory Healthcare processes from registration to billing. Responsible for financially clearing patients prior to their visits by collecting payment or determining insurance eligibility. Acts as a liaison between PFS and clinic operations to resolve customer inquiries related to billing and customer satisfaction in a timely matter. Complete cost estimates and follow guidelines associated with pre-payment process. Responsible for training new staff members, serves as department resource in absence of Supervisor and performs monthly audits for Financial Counselor II. Performs all aspects of benefits verification. Provide financial counseling assistance for satellite clinics for assigned sections when required. Requires knowledge of Medicare, Medicaid and Third Party carriers and referrals and precertification procedures. Maintain a knowledge base of patient financial assistance and co-pay programs available. Ability to solve problems independently and must be strongly vested in team management. Responsible for collaborating with physicians and members of the care delivery team to triage, coordinate and consistently manage the patient care experience. Position works with patients and families to answer questions, provide emotional support and resolve issues concerning the administrative coordination of their care. Administratively coordinates care for established patients and serves as the primary point of care for these patients and their families. Develops and coordinates a system which organizes the flow of patients from initial appointment through completion of their care experience. Perform other duties as assigned or requested.

Requirements

High school Diploma and minimum of 5 years healthcare experience or equivalent education and experience combined.
Some revenue cycle experience required.
Proficient computer skills required.
Excellent communication skills, both verbal and written, are required.
Ability to provide a high level of customer service is required.
Ability to successfully interact with internal and external customers at all levels is required.

Nice To Haves

Associate degree preferred.
CPAR certification preferred.

Responsibilities

Serve as the primary point of contact for customer service, administrative, and scheduling needs for patients.
Act as a liaison between patients, families, administrative, and clinical staff to improve the patient experience.
Secure and coordinate patient appointments for episodes of care.
Address and resolve administrative issues impeding access to care.
Monitor in-house accounts to improve revenue and timely claim payment.
Perform cost estimates and follow pre-payment process guidelines.
Maintain patient confidentiality and comply with HIPAA and compliance guidelines.
Financially clear patients by collecting payment or determining insurance eligibility.
Resolve customer inquiries related to billing and customer satisfaction.
Train new staff members.
Serve as a department resource in the absence of a Supervisor.
Perform monthly audits for Financial Counselor II.
Perform all aspects of benefits verification.
Provide financial counseling assistance for satellite clinics.
Maintain knowledge of Medicare, Medicaid, Third Party carriers, referrals, and precertification procedures.
Maintain knowledge of patient financial assistance and co-pay programs.
Collaborate with physicians and care delivery team members to manage the patient care experience.
Answer patient and family questions, provide emotional support, and resolve administrative care coordination issues.
Develop and coordinate a system for patient flow from initial appointment through completion of care.