Financial Counselor

Good Shepherd Health Care•Hermiston, OR

2d•Onsite

About The Position

The Patient Financial Counselor is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment. Representatives will need to effectively follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. An effective revenue cycle process is achieved by working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving accounts with minimal assistance.

Requirements

High School Diploma or equivalent.

Nice To Haves

Minimum of 2 years hospital collection experience preferred.
Bilingual and/or English Spanish speaking preferred.
Ability to work with culturally diverse population.
Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable.

Responsibilities

Work independently as well as work closely with management and team to take appropriate steps to resolve a self pay accounts.
Respond timely to emails and telephone messages from patients, physicians, attorneys, and team members as needed.
Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys, and team members as needed.
Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions
Access payer websites and discern pertinent data to resolve self-pay accounts
Conducts appropriate account activity on uncollected account balances by contacting patients via phone, e-mail, or online.
Screens patients to verify eligibility for available hospital and government assistance programs.
Complies with hospital collections policies regarding the creation of payment agreements on accounts.
Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends. Requests for additional information from patients.
Take appropriate action to bring about account resolution timely or open a dispute record to have the account further researched and substantiated for continued collection.
Maintains worklists current without backlog while achieving productivity and quality standards.
Document clear and concise notes in the patient accounting system regarding self-pay status and any actions taken on an account
Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership
Identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities
Provide support for team members that may be absent or backlogged
Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to manager.
Perform special projects and other duties as needed. Assists with special projects as assigned, documents, findings, and communicates results.
The employee supports the hospital mission, vision, values, policies, and procedures.
Participates in required education for DNV programs as applicable to position (reference program education curriculum).
Performs other related duties as assigned.