Financial Counselor

Catholic Health•Rockville Centre, NY

21d•Onsite

About The Position

Catholic Health is a large health and human services agency on Long Island with a comprehensive system including hospitals, nursing homes, home health services, and physician practices. They emphasize collaborative, compassionate care and evidence-based practices to improve patient outcomes. Catholic Health was recognized as Long Island's Top Workplace.

Requirements

High School Diploma, some college or equivalent education desirable.
Previous registration or insurance verification experience desirable.
Two or more years in a health-related field, preferably in insurance verification.
Excellence in customer service skills.
Excellence in interview skills.
Excellence in data accumulation skills.
Keyboard skills @45 wpm.
Medical terminology preferred.
Meets attendance and punctuality guidelines.
Meets annual mandatory education requirements.
Meets hospital-required health screenings.

Nice To Haves

Some college or equivalent education desirable.
Previous registration or insurance verification experience.
Medical terminology preferred.

Responsibilities

Verify patient insurance coverage, obtain pre-certifications and authorizations.
Verify coverage eligibility for the date of service and confirm services are covered under the plan.
Coordinate benefits among multiple payors and determine patient financial responsibility (co-payments, co-insurance, deductibles).
Conduct pre-admit telephone interviews to ensure accurate demographic and insurance information is entered into the Hospital Information System.
Advise patients of their financial responsibility due at the time of service.
Print/review schedules, insurance and admissions reports from Star and EPIC to gather information for financial investigations.
Review Emergency Room Visit Payer reports for outpatient financial investigations.
Verify insurance coverage and benefits via telephone, internet or fax, documenting findings in Star registration.
Note effective date of policy, subscriber, co-pay, deductible, CPT codes, and in/out-of-work benefits.
Gather data necessary for timely reimbursement.
Inform patients/guarantors of financial responsibility due at time of service.
Refer patients/guarantors to Director of Patient Access for self-pay payments when necessary.
Ensure patients receive appropriate insurance authorizations and/or referrals per Managed Care guidelines.
Utilize excellent customer service skills when interacting with patients, doctor’s offices, and insurance companies.
Advise patients to arrive with insurance cards, patient ID, and prescription (if needed), and inform them of required co-pays, co-insurance, deductibles, authorizations, and referrals.
Be knowledgeable of MMC Financial Assistance programs.
Maintain confidentiality of patient, employee, department, and hospital information, including computer passwords.
Follow downtime policy and procedures during scheduled and unscheduled downtimes.
Monitor out/inpatient reports to ensure policies/procedures have been followed and make corrections to registrations or authorizations.
Accept additional related duties with appropriate training in a positive manner.
Devote attention and resources to provide the best customer service possible.
Perform assignments as necessary.
Utilize all available resources to reach sound decisions.
Assume responsibility for problems and initiate actions to solve them.
Work with others toward shared goals, including participation in department problem-solving and improvement activities.
Demonstrate awareness and respect for cultural diversity.
Comply with all MMC/CHS policies and procedures, Corporate Compliance, HIPAA, Joint Commission, and other regulatory agencies.
Meet attendance and punctuality guidelines.
Foster change initiatives for continuous performance improvement and service excellence.
Perform job functions adhering to a culture of safety, identifying and communicating safety/risk issues.
Promote team work and collaboration.
Meet annual mandatory education requirements.
Meet hospital-required health screenings.
Live the spirit of MMC’s Mission and demonstrate knowledge of ethical and religious directives.
Complete goals and assigned projects in a timely manner.