MUSCP - Financial Counselor - Health East Cooper Medical Pavilion - Mount Pleasant

Medical University of South Carolina•Mount Pleasant, SC

10d

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 diploma with two (2) years of medically related customer service/collections experience, or bachelor's degree and one year of medically related customer service/collections experience.
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.
Ability to understand and interpret credit bureau data
Possess strong communication skills to include both formal and informal communication.

Nice To Haves

Knowledge of medical terminology and knowledge/understanding of health insurance preferred

Responsibilities

Evaluate scheduled patient visits to identify and resolve funding/coverage.
Assist patients 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 with co-payment/deductible/deposit information prior to services rendered.
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.