Financial Counselor Outpatient

Shepherd Center•Atlanta, GA

21h

About The Position

With five decades of experience, Shepherd Center provides world-class clinical care, research, and family support for people experiencing the most complex conditions, including spinal cord and brain injuries, multi-trauma, traumatic amputations, stroke, multiple sclerosis, and pain. An elite center ranked by U.S. News as one of the nation’s top hospitals for rehabilitation, Shepherd Center is also recognized as both Spinal Cord Injury and Traumatic Brain Injury Model Systems. Shepherd is the only rehabilitation facility in the nation with an intensive care unit on-site, allowing us to care for the most complex patients and begin the rehabilitation process sooner. Shepherd Center treats thousands of patients annually with unmatched expertise and unwavering compassion to help them begin again. Shepherd Center's culture is one of hope, humor, and hard work. You will enjoy career growth, strong relationships with co-workers, strong support from leadership, and fun activities that have kept over 12% of staff members working at Shepherd for more than 20 years. The Financial Counselor is responsible for obtaining insurance verification and processing financial forms for patients. In this role, the Financial Counselor is a liasion between patient financial services and access department. The Financial Counselor works with patients and their families, and is vital to improving the patient experience.

Requirements

High School Diploma
Two (2) to Three (3) years’ experience in insurance, preferably in a hospital setting.
Knowledge of Commercial, Managed Care Contracts and Governmental Insurance Plans.
Experience in automated systems, overall knowledge of business office procedures and hospital policy, knowledge of third-party payors.
Excellent communication and customer service skills.
Familiar with general office equipment; fax machine, calculator, copier, imprinter and embosser.
Must have a working knowledge of PC spreadsheet and database software.
Strong math aptitude required.

Nice To Haves

Associates or Bachelor's degree preferred.
Strong Healthcare business background desired.
CPAR, CHAA or CHAM preferred.

Responsibilities

Financial Counselors serve patients and families by providing expertise in explaining benefit levels, insurance plans, and their applicability to patients planned or received services.
Financial Counselors must interpret and explain benefits, explanations of benefits, authorizations and/or denials of services to patients and their families.
Financial Counselors must be able to facilitate and manage follow through/coordination to obtain Single Case agreements for Out of Network patients when possible. They will work with Case Managers, Department Managers, the Director of Managed Care, and insurance company personnel to do so.
They must explain the process of requesting a waiver/gap approval to patients and families.
Financial Counselors are the first line in explaining Shepherd Center’s charitable programs and assist patients/families in completing/submitting the paperwork.
They must explain any excluded services and administer any flat rate collections (i.e. PRP services).
Maintains the cash drawer, completes collections of copays, deductibles, planned services, processes credit card transactions, and communicates with the patient or guarantors.
Financial Counselors must meet with and assist patients and families on the floors as required, demonstrating compassion, poise, and financial expertise.
Must have working knowledge of CMS required notices, the No Surprises Act, delivering estimates and explaining them, and general managed care concepts.
Must be able to negotiate and establish payment plans with patients as needed.
Periodically rotates through all clinical departments to maintain fundamental insurance verification, registration, and Patient Access knowledge.
Will cover all positions as needed.