Financial Counselor

Roosevelt General Hospital•Portales, NM

About The Position

Under general supervision, is responsible for representing Roosevelt General Hospital (RGH) and RGH Clinic as an exemplary hospital in the region. The Financial Counselor position requires fundamental knowledge of RGH collection policy as well as the many different options that a patient may have for financial assistance. The Financial Counselor will be the embodiment of the hospital’s mission, vision and values. The Financial Counselor will greet patients or family members upon arrival within the business office and assist them in answering any questions or concerns they may have regarding billing issues. The Financial Counselor will have knowledge of all aspects of the department process from the registration process through the billing process.

Requirements

High school graduate or equivalent is required
PE/MOSAA Certification through the State of NM within 6 months of hire date is required
Basic computer knowledge
Typing speed: minimum 40 wpm, computer knowledge
Six months previous hospital registration, billing and collections, financial counseling, and/or customer service experience preferred
Adhere to dress code, appearance is neat and clean.
Complete annual education requirements.
Maintain patient confidentiality at all times.
Report to work on time and as scheduled.
Wear identification while on duty.
Maintain regulatory requirements, including all state, federal and local regulations.
Represent the organization in a positive and professional manner at all times.
Comply with all organizational policies and standards regarding ethical business practices.
Communicate the mission, ethics and goals of the organization.
Participate in performance improvement and continuous quality improvement activities.
Attend regular staff meetings and in-services.
Knowledge of medical insurances (Medicare, HMO’s, PPO’s, commercial), EMTALA regulations, hospital billing and collection process
Must have an enthusiastic and positive attitude
Possess a genuine desire to help RGH become an exemplary hospital in the surrounding community and the state
Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude
Ability to manage multiple and simultaneous responsibilities and to prioritize duties/tasks
Ability to initiate communication with patients, their families and hospital visitors
Must have excellent customer service and communication skills with the ability to effectively calm patients and be able to deal with distressed and/or agitated patients and their families
Must have a professional demeanor and excellent public relations skills
Willingness to develop or improve public speaking skills
Must have excellent written skills with knowledge of medical terminology
Must be dependable and on time
Possess good 'people skills' for building relationships with colleagues at all levels
Ability to plan and prioritize workload to meet deadlines

Nice To Haves

Medical terminology knowledge preferred.
Knowledge of CPT / ICD- coding helpful.
Bi-lingual preferred

Responsibilities

Promote the mission, vision, and values of the organization
Maintain knowledge base of all programs available to help patients such as but not limited to Medicaid, EMSA, Financial Assistance, and Roosevelt County Indigent Care
Complete system generated assessments daily to ensure private pay patients are notified about our programs.
Responsible for financially clearing patients at OP registration to obtain cash payment or determine eligibility for various governmental programs.
Conduct interview with patients and / or family members
Assist patients on the phone or in person with questions regarding their account.
Maintain complete records of all patients applying for indigent or financial assistance to include the application, proof of income, the acceptance/denial letter, and any other applicable documentation.
Create charity adjustments on accounts approved for Financial Assistance.
Record and maintain complete documentation of activities performed on account
Participate in data gathering for financial reporting
Collaborate with Case Management (UR) on a daily basis in regard to patient status changes, to include patient type or insurance notification or insurance coverage
Set up arrangements / monthly installment plans for patients to payoff balances within the guidelines of RGH collection policy. Follow up on any payments that were missed within 3 days.
Discuss outstanding balances with patients attempting to receive future services. Provide an estimate for the future service and create a payment plan to resolve older debt.
Be willing to serve as a communications person between the department and hospital
Be knowledgeable on RGH’s services, including the RGH Clinic
Performs other duties as assigned.