Financial Counselor (Second Shift)

SUN BEHAVIORAL HEALTH GROUP • Erlanger, KY

91d

About The Position

The position is responsible for accurate and timely verification of benefits, financial counseling, identifying patients' financial responsibility, assisting patients with filing for assistance, and identifying charity. The employee must have a solid understanding of insurance contracts, strong analytical skills, the ability to work unsupervised, proficiency in Microsoft Excel, a strong attention to detail, and an exceptional work ethic. This role requires a comprehensive understanding of accounts receivable management in a healthcare setting, along with strong customer service, organizational, and communication skills. Adherence to Patient Accounts policies as outlined in the Procedure Manual is required, as well as the ability to prioritize multiple tasks in an occasionally stressful environment. General computer skills, typing skills, and a working knowledge of OSHA and HIPAA guidelines are also necessary.

Requirements

• High school diploma or GED.
• Basic medical terminology.
• One to two years previous experience in a related field.
• Knowledge of insurance payor rules and regulations.

Nice To Haves

• Bachelor's degree in healthcare or business-related field.
• Understanding of behavioral health treatment modalities.
• Working experience in HCS system.

Responsibilities

• Validates insurance information of patients for accuracy and completeness and resolves discrepancies as needed.
• Collects co-pay, deductible, and out-of-pocket expenses from patients at the time of admission.
• Updates and maintains Front end log.
• Verifies all active clients' Medicaid and Medicaid HMO on the first of each month.
• Assists patients with filing for financial assistance.
• Follows up on in-house payment plans effectively.
• Performs data entry utilizing Electronic Medical Record for documentation of insurance information with minimal errors.
• Transfers and maintains early out and bad debt accounts/inventory.
• Analyzes patient data from admission through discharge to ensure accurate billing and collections.
• Provides patient notifications including End of Coverage Notifications and Recertification applications.
• Identifies and recommends process improvements based on job functions.
• Maintains HCS emails and responds timely and professionally.
• Demonstrates knowledge of insurance benefits, covered services, and billing procedures.
• Obtains single case agreements with non-contracted insurance companies.
• Determines patient financial responsibility based on payor guidelines.
• Utilizes resources in an organized manner and makes independent decisions.
• Discusses personal and financial matters with patients regarding credit and collection policies.
• Strives to create a safe, healing environment for patients and family members.
• Follows all safety rules while on the job and reports near misses and accidents promptly.
• Participates in quality projects and supports quality initiatives.
• Works well with others in a spirit of teamwork and cooperation.
• Builds collaborative relationships with patients, families, staff, and physicians.
• Demonstrates adequate skills in all forms of communication.
• Strives to always do the right thing for the patient, coworkers, and the hospital.
• Maintains confidentiality of patient and staff information, following HIPAA and other privacy laws.
• Demonstrates accountability for ensuring the highest quality patient care.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED