Financial Counselor

Lifepoint Health • Youngstown, OH

8d • Onsite

About The Position

The Financial Counselor provides guidance to patients in all aspects of their financial responsibilities that result from acceptance of the facility’s services. Counselor assesses patients’ financial ability, determines ability to pay, advises patients on insurance benefits, explains financial liability, collects payment, negotiates payment arrangement, secures financing, identifies funding sources and resolves any confusion the patient may have about their financial obligations to the facility. Counselor is responsible for the accurate and timely verification of insurance benefits, to include: contacting patients and/or guardians to obtain additional insurance information, researching and maintaining an ongoing collective knowledge of HMO, PPO, Medicaid, Medicare, and commercial insurance reimbursement rates and criteria, evaluating plans to calculate and estimate of the patient’s out of pocket charges, collecting any co-pays, co-insurance, deductibles, etc. and exploring patient’s financial circumstances to ensure fair and reasonable repayment terms. Provides accurate account and billing information to required departments within timelines specified Ensures the effective implementation of collection measures for uncollected co-pays, deductibles and coinsurance Serves as additional point of contact regarding benefit determination within departmental timelines. Maintains self-pay/ self-pay after insurance work list and ensures accounts are worked daily and documents appropriately within the software system. Provides required follow-up on all patient accounts with the goal of collecting any patient co-pays, deductibles and coinsurance at the time of services rendered. Ensures that all admitted patient accounts have been verified, corrected, and completed within 24 hours of admission. Gathers and collects all pertinent financial information in order to accurately assess the patient’s information Identifies candidates eligible for charity and submits charity requests with the appropriate financial documentation. Works with uninsured patients to identify potential Medicaid eligibility and makes the appropriate referrals to internal or external agencies Maintains Medicaid Pending Log daily and reports any change in Medicaid status to the Central Billing Office Maintains front-end collections log daily. Reports any system problems or billing/ verification/ collection issues to supervisor. Maintains the patient’s account with all appropriate documentation in a timely manner Knowledgeable of specific billing/ verification requirements of various carriers Identifies patient refunds/balance transfers and documents the amounts Processes all insurance requests from other departments and physician billing offices in a timely manner Informs billing/ collections staff of any pertinent information needed to submit a “clean” claim when/ if charges occur during/ after visit

Requirements

• High school diploma or equivalent required
• Previous experience in healthcare collections or a related field, or any combination of education, training, or experience in health care business office setting preferred.

Responsibilities

• Provides accurate account and billing information to required departments within timelines specified
• Ensures the effective implementation of collection measures for uncollected co-pays, deductibles and coinsurance
• Serves as additional point of contact regarding benefit determination within departmental timelines.
• Maintains self-pay/ self-pay after insurance work list and ensures accounts are worked daily and documents appropriately within the software system.
• Provides required follow-up on all patient accounts with the goal of collecting any patient co-pays, deductibles and coinsurance at the time of services rendered.
• Ensures that all admitted patient accounts have been verified, corrected, and completed within 24 hours of admission.
• Gathers and collects all pertinent financial information in order to accurately assess the patient’s information
• Identifies candidates eligible for charity and submits charity requests with the appropriate financial documentation.
• Works with uninsured patients to identify potential Medicaid eligibility and makes the appropriate referrals to internal or external agencies
• Maintains Medicaid Pending Log daily and reports any change in Medicaid status to the Central Billing Office
• Maintains front-end collections log daily.
• Reports any system problems or billing/ verification/ collection issues to supervisor.
• Maintains the patient’s account with all appropriate documentation in a timely manner
• Knowledgeable of specific billing/ verification requirements of various carriers
• Identifies patient refunds/balance transfers and documents the amounts
• Processes all insurance requests from other departments and physician billing offices in a timely manner
• Informs billing/ collections staff of any pertinent information needed to submit a “clean” claim when/ if charges occur during/ after visit

Benefits

• Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Ongoing learning and career advancement opportunities.

What This Job Offers

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