Financial Counselor-Patient Access- On Site
About The Position
Provides assistance to self-pay patients. Maintains working knowledge of governmental and community resources and offers alternatives to help the needy. Facilitates application process and transfers. Adheres to Wheaton Franciscan Healthcare's performance expectations and performs all defined services and other related duties in accordance with the mission, vision and values of Wheaton Franciscan Healthcare. Position Purpose: Financial advocate for the patient and a liaison between Revenue Site Operations (RSO) and Patient Financial Services (PFS). Determines liability on patient accounts and works with patients or their representatives to provide financial assistance or secure payment.
Requirements
- High school diploma or GED.
- Minimum two (2) to three (3) years experience working in Patient Access or Patient Accounting for hospital registration and / or hospital reimbursement services
- Obtain National certification in HFMA CRCR and/or NAHAM CHAA required within one (1) year of hire.
- Understanding of basic billing and coding.
Nice To Haves
- Bachelor's degree or advanced certification or a combination of advanced training and/or certification (e.g., Registered Nurse, Licensed Practical Nurse, Certified Pharmacy Technician,
- Registered Health Information Technician, or medical coding certification through AHIMA or AAPC
- Epic experience preferred.
Responsibilities
- Provides patient counseling regarding treatment costs, insurance coverage, available payment resources, and financial assistance options. Secures and documents payment arrangements.
- Submits authorization for initial and subsequent high-cost infusion and oncology services based on complex treatment plans. Coordinates with the patient, physician, insurance company, and pharmaceutical company to complete the required pre-authorization process. Validates payable diagnosis codes/medical necessity and prior therapy requirements according to FDA and NCCN guidelines.
- Assists patients in financing, payment plans, financial assistance and all financial options through the organization. This includes grants, co-pay assistance for high-cost pharmacy/drugs and free-drugs for infusion and specialty care patients.
Benefits
- Wellness programs
- Education reimbursement
- Personalized health insurance plans including dental and vision
- Paid time off
- Long- and short-term leave
- Retirement planning
- Life insurance coverage
- All benefits begin day 1 with no waiting period!
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Hospitals
Education Level
High school or GED
