Financial Counselor - MUSCP

Medical University of South Carolina•Charleston, SC

12d•Onsite

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. Must be able to work independently with minimum supervision. Must exhibit the ability to analyze and determine necessary steps to provide expected outcome and follow through with actions.

Requirements

High School diploma or equivalent
0 – 6 months of experience
Ability to work independently with minimum supervision.
Ability to analyze and determine necessary steps to provide expected outcome and follow through with actions.
Continuous requirements are to perform job functions while standing, walking and sitting.
Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions.
Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance.
Work in a latex safe environment and work indoors.
Frequently lift and/or carry objects weighing 20 lbs (+/-) unassisted.
Lift from 36" to overhead 15 lbs.
Infrequently work in dusty areas and confined/cramped spaces.
Strong communication skills to include both formal and informal communication.

Responsibilities

Evaluate scheduled patient visits to identify and resolve funding/coverage issues.
Assist patients in applying for Medicaid, disability, financial assistance, or insurance coverage.
Identify resources for patients who can pay out of pocket for MUHA & UMA services.
Provide patients with co-payment/deductible/deposit information prior to services.
Notify patients of copayments/deductibles/deposits and collect when applicable.
Provide estimates using the fee estimation tool in Epic.
Assist in the resolution of processing Financial applications.
Minimize patient complaints through effective communication and education on out-of-pocket costs.
Proactively identify and resolve discrepancies within the EPIC Tool.
Accept advance payments and ensure they are posted to patient accounts.
Calculate patient estimates based on insurance plans, benefits, and out-of-pocket thresholds.
Discuss and finalize payment methods with patients.
Document all activities within EPIC.
Obtain and record accurate patient data.
Ensure compliance with state and federal regulations, including informing patients about programs like FAP and Cobra.
Work closely with internal and external peers with professionalism.
Interact with State workers and external partners to accomplish work efforts.
Ensure patient accounts are appropriately processed and worked for financial counseling.
Understand and interpret credit bureau data.
Work assigned patient work queues in Epic, meeting departmental metrics.
Comply with all MUSC Health Policies and Procedures.