Financial Counselor - MUSCP

Medical University of South Carolina•Ashley, WV

10d•Onsite

About The Position

Responsible for evaluating scheduled patient visits to identify and resolve funding/coverage with either assistance applying for Medicaid, disability, financial assistance, insurance coverage, or resources identified revealing the ability to pay out of pocket for MUHA & UMA services; and provide patients co-payment/deductible/deposit information to be paid prior to services rendered. Function as integral member of the health care team to reflect a culture of cooperation, enthusiasm and mutual respect. Notify patients of copayments/deductibles/deposits prior to services being rendered and collect when applicable. Provide estimates using the fee estimation tool in Epic, assist in resolution with processing of Financial applications. Minimizes patient complaints through effective and accurate communication and education related to patient out of pocket costs for hospital and physician services. Proactively identifies discrepancies within EPIC Tool and works with appropriate teams to resolve. Accepts payments made in advance of service and hands off to appropriate billing office for posting to patient account. For patient/families with insurance, calculate patient estimate based on plan, benefits and out of pocket thresholds; discuss and finalize method of payment. Ensures all activities are documented within EPIC. Obtain and record accurate patient data, assure compliance with all state and federal regulations to include informing patients about our programs (FAP, Cobra.) Work closely with internal and external peers and communicate at a high level of professionalism. Interact with State workers and external partners to accomplish work efforts. And, ensure that all the patient accounts are appropriately processed and worked for financial counseling, including noting all areas so that work is visible to the Health Care Team. Have the ability to understand and interpret credit bureau data and possess strong communication skills to include both formal and informal communication. To work accounts assigned to patient work queues in Epic meeting departmental established expected metrics. Compliant with all MUSC Health Policies and Procedures. Other duties as assigned.

Requirements

High School Degree or Equivalent
0-6 months work experience
knowledge of medical terminology and knowledge/understanding of health insurance preferred
must be proficient in Microsoft Word and Excel, with knowledge of epic preferred
must be punctual and dependable, and have excellent interpersonal, oral, and written communication skills
exhibit good organizational skills, and strong initiative to be goal-oriented
establish and maintain effective relationships with necessary contacts
must have a sense of professionalism and continuously seeks self-improvement
must be able to work independently with minimum supervision
must exhibit the ability to analyze, and determine necessary steps to provide expected outcome and follow through with actions
continuous requirements are to perform job functions while standing, walking and sitting
ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions
maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors
frequently lift and/or carry objects weighing 20 lbs (+/-) unassisted
lift from 36" to overhead 15 lbs
infrequently work in dusty areas and confined/cramped spaces

Nice To Haves

knowledge of medical terminology
understanding of health insurance
knowledge of epic

Responsibilities

evaluate scheduled patient visits to identify and resolve funding/coverage
assist with applications for Medicaid, disability, financial assistance, and insurance coverage
identify resources revealing the ability to pay out of pocket for MUHA & UMA services
provide patients co-payment/deductible/deposit information prior to services rendered
function as integral member of the health care team
notify patients of copayments/deductibles/deposits prior to services being rendered and collect when applicable
provide estimates using the fee estimation tool in Epic
assist in resolution with processing of Financial applications
minimize patient complaints through effective and accurate communication and education related to patient out of pocket costs for hospital and physician services
proactively identify discrepancies within EPIC Tool and works with appropriate teams to resolve
accept payments made in advance of service and hands off to appropriate billing office for posting to patient account
calculate patient estimate based on plan, benefits and out of pocket thresholds; discuss and finalize method of payment
ensure all activities are documented within EPIC
obtain and record accurate patient data
assure compliance with all state and federal regulations to include informing patients about our programs (FAP, Cobra.)
work closely with internal and external peers and communicate at a high level of professionalism
interact with State workers and external partners to accomplish work efforts
ensure that all the patient accounts are appropriately processed and worked for financial counseling, including noting all areas so that work is visible to the Health Care Team
understand and interpret credit bureau data
work accounts assigned to patient work queues in Epic meeting departmental established expected metrics
be compliant with all MUSC Health Policies and Procedures
other duties as assigned