Financial Counselor

Cook Children's Health Care System•Fort Worth, TX

4d•Onsite

About The Position

The Financial Counselor will financially screen patients/legal representatives in accordance with the Financial Policy. This position requires knowledge of tasks performed in the various areas of Patient Registration and Single Billing Office. This position requires knowledge of state, federal and system financial assistance programs. This position also requires timely completion, preparation, and deployment of legal documents, and financial assistance applications, i.e.. Medicaid, CSHCN, CCMC FQ applications. The Financial Counselor is responsible for maintaining knowledge of JCAHO, HIPPA, and Patient Rights & Responsibilities. Financial Counselor will maintain a high degree of knowledge about Revenue Cycle drivers, Medicaid, Commercial Insurance, Limited Benefit Plans, and cost sharing plans. The incumbent will be responsible for maintaining knowledge of the Financial Policy, Charity. Financial Counselors are responsible for securing authorizations and referrals for all emergency admits and all scheduled procedures both Inpatient and Outpatient. Knowledge of CPT codes and all relevant NPI and TPI is essential for securing correct authorizations and referrals.

Requirements

High School Diploma or equivalent required.
Knowledge of government programs, HMOs, PPOs, Commercial Payors, required.
Minimum 3 years Hospital, Financial Counseling, or Physician Office Experience required.
Strong verbal and written communication skills.
Typing and Computer experience required.
CPR certification required within 30 days of employment.

Nice To Haves

Financial Counseling and Medical Insurance experience preferred.
Knowledge of ESRD, preferred.
Bi-lingual preferred.

Responsibilities

Financially screen patients/legal representatives in accordance with the Financial Policy.
Maintain knowledge of state, federal and system financial assistance programs.
Complete, prepare, and deploy legal documents, and financial assistance applications (e.g., Medicaid, CSHCN, CCMC FQ).
Maintain knowledge of JCAHO, HIPPA, and Patient Rights & Responsibilities.
Maintain knowledge of Revenue Cycle drivers, Medicaid, Commercial Insurance, Limited Benefit Plans, and cost sharing plans.
Maintain knowledge of the Financial Policy and Charity.
Secure authorizations and referrals for all emergency admits and all scheduled procedures both Inpatient and Outpatient.
Utilize knowledge of CPT codes and all relevant NPI and TPI for securing correct authorizations and referrals.