Financial Counselor Lead

Orlando Health•Orlando, FL

About The Position

The Financial Counselor assists patients and their families with a host of services to ensure that the process of collecting payments is fully explained and is as comfortable as possible.

Requirements

Basic knowledge of third party reimbursement requirements and regulations.
Competency in the use of all registration systems, electronic verification tools and Web based resources.
Knowledge of Patient Financial Services self-pay policies.
Knowledge of Patient Financial Services policies related to cash handling.
Ability to perform basic individual cashiering functions.
Ability to collect and inventory patient valuables.
Basic understanding of the medical necessity screening process and appropriate systems.
Ability to perform appropriate pre-registration functions.
Ability to maintain departmental logs for statistical reporting.
Ability to meet Quality Assurance standards set by Patient Access.

Responsibilities

Understands the importance Orlando Health places on providing exemplary customer service and performs job functions in a manner that helps meet the department customer service goals.
Demonstrates a positive and professional approach and communicates effectively with customers and team members at all times.
Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information
Contacts Primary Care or Admitting Physician to obtain authorizations, diagnosis, and procedure detail as necessary.
Explains necessary forms and obtains signatures from patient/guarantor.
Contacts appropriate payers, verifying benefits and obtaining necessary authorizations.
Explains insurance benefits and collects co-pays, deductibles and self-pay portions due.
Collects for related professional care when appropriate.
Documents authorization and benefit information in registration system.
Assembles patient record and obtains copies of relevant documents including insurance cards, photo identification cards and any advance directives.
Demonstrates a basic knowledge of third party reimbursement requirements and regulations.
Exhibits competency in the use of all registration systems, electronic verification tools and Web based resources.
Follows Patient Financial Services self-pay policies including completion of Guarantor Financial Statement Application, explanation of payment options and collections of monies due.
Follows Patient Financial Services policies related to cash handling.
Performs basic individual cashiering functions.
Collects and inventories patient valuables following policy guidelines.
Maintains basic understanding of the medical necessity screening process and appropriate systems.
Performs appropriate pre-registration functions including calling physician offices, insurance payers and the patient/guarantor, as necessary.
Maintains departmental logs for statistical reporting.
Consistently meets Quality Assurance standards set by Patient Access