Financial Counselor Lead at Lake Mary Hospital

Orlando Health•Lake Mary, FL

6h•Onsite

About The Position

Orlando Health Lake Mary Hospital represents Orlando Health’s continued commitment to the Seminole County community, which we have proudly served for 40 years. As a comprehensive acute care facility, the hospital offers a full scope of medical and surgical services, including cardiovascular, general surgery, orthopedics, and women’s services with labor and delivery, alongside a future NICU. Opening with 124 beds, the 455,000 square foot hospital will be able to expand to up to 240 beds. State-of-the-art facilities include operating rooms, catheterization labs, interventional radiology, a vascular lab, an ICU and a full-service emergency department. For labor and delivery, the hospital features six private suites thoughtfully designed to make you feel at home while providing exceptional medical care. Each suite includes a hydrotherapy tub for laboring, shower, recliner, adjustable bed with a squat bar, wireless and waterproof heart rate monitors for mom and baby, a smart board that integrates patient and nurse information from Epic, WiFi, and televisions. These modern amenities ensure a comfortable and supportive environment for every patient. The Financial Counselor Lead is a key position on the team which assists patients and their families with a host of services to ensure that the process of collection payments is fully explained and is as comfortable as possible.

Requirements

High School or equivalent.
Must complete Corporate and Patient Financial Services annual educational requirements.
Two (2) years’ experience in a financial, business office, or customer service environment.
Proficient in Windows Microsoft Office-based products (Word, Excel, PowerPoint).
Typing proficiency.
One (1) year PC/Windows experience.

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.
Identifies customer service issues and resolves or initiates necessary follow-up. Implements service recovery efforts as appropriate.
Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information
Explains necessary forms and obtains signatures from patient/guarantor.
Contacts appropriate payers, verifying benefits and obtaining necessary authorizations.
Utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
Explains insurance benefits and collects co-pays, deductibles and self-pay portions due.
Collects for related professional care as appropriate.
Collects outstanding balances due from previous accounts or establishes payment arrangements for these balances as appropriate.
Provide complete resolution to patients billing issues and questions.
Contacts Primary Care or Admitting Physician to obtain authorizations, diagnosis, and procedure detail as necessary.
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 thorough knowledge of third party reimbursement requirements and regulations.
Exhibits thorough knowledge in the use of all registration and scheduling 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.
Screens patient/guarantor for federal, state, county or other assistance programs and completes necessary forms and applications per facility guidelines.
Follows Patient Financial Services policies related to cash handling.
Performs departmental cashiering functions and process point of service transactions.
Performs advanced department cashiering functions.
Collects and inventories patient valuables following policy guidelines.
Maintains thorough understanding of the medical necessity screening process and appropriate systems.
Maintains a thorough knowledge of ICD-10 and CPT codes.
Performs appropriate pre-registration functions including calling physician offices, insurance payers and the patient/guarantor, as necessary.
Cross-trained with appropriate knowledge and skills necessary to staff all areas of Patient Access at any facility, including but not limited to Front Desk, Admitting Office, Cashier, Insurance Verification, Floor Representatives, Pre-Registration, Scheduling and Emergency Department Business Office.
Acts as a resource for training of new team members.
Serves as a resource during the implementation of new process improvements.
Performs the duties of a system super user.
When performing scheduling functions provide patients with thorough and accurate procedure information.
When performing scheduling functions maintains open communication with physicians and their offices, patients, all ancillary and surgical areas to include scheduling, rescheduling and cancellations of single/multiple tests and procedures.
Acts as liaison between Nursing, Ancillary, Scheduling, Case Management, Social Workers, Managed Care Companies, Physicians, Administration and Patient Accounting.
Maintains departmental logs for statistical reporting.
Works departmental reports as assigned.

Benefits

BEST Place to Work, 5 years in a row!
As a new hospital, Orlando Health Lake Mary offers unique opportunities for career advancement, leadership roles, and professional development.
Benefits Package that begins on day one (Full-Time & Part-Time only).
Flexible Schedules
Tuition Reimbursement up to $5,000 a year.

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