Clerk, Financial Counselor - FT Days

Three Crosses Regional Hospital•Las Cruces, NM

8d•Onsite

About The Position

If you're looking for a place to call home and grow, Three Crosses Regional Hospital is looking for you! We are looking for a Financial Counselor to join our team that is committed to clinical excellence and building a patient-centered culture. Three Crosses Regional Hospital is an advanced independent healthcare organization led by a local team of professionals dedicated to high quality patient care and being the first choice of patients and providers in the communities we serve. We are dedicated to hiring team members that will adapt to our culture, pride themselves in professionalism, integrity, transparency, two-way communication, and ensuring the safety and well-being of our patients and staff.

Requirements

A high school diploma or its equivalent in required
Two (2) years of hospital experience
Working knowledge of all patients accounting functions, including pre-admissions and admission registration is preferred
Ability to interpret billing manuals, insurance and/or other third-party coverage
Understanding of the third-party review process, payer funding and authorization procedures to ensure payment
Understanding of government/state payers, including eligibility factors
Knowledge of medical and insurance terminology is required
Must be proficient in the use of office machines, including computers
Must have excellent interpersonal, telephone, written, and verbal communication skills
Must obtain the ability to concentrate on detail in the middle of other activities

Responsibilities

Follows policy and procedures in regard to financial screening, arrangements and third-party demands
Serves as support to patients and their family members to assure customers have access to all available funding, this involves; working with private as well as governmental agencies.
Maintains daily contact with Utilization Management, Business Office, Patient Registration, Medical Records, Ancillary departments, various third-party agencies, HMO/PPO’s, patients, their families, physicians, offices and other outside entities as needed for financial concerns.
Determines patient’s ability to pay and secure repayment arrangement with patient, according to established polices
Assures proper financial classification, determines proper policy and group insurance ID numbers, guarantor and updates system accordingly
Provides estimates for procedures to patients, physicians’ offices, and payers as requested
Alerts Supervisor if extended payment arrangements are needed to obtain approval from BO Director
Contacts referring provider in a timely manner if needed authorization is not initiated on scheduled accounts
Determines co-pay, share of costs and deductible status using information obtained during verification process
Contacts patient prior to service to advise of financial responsibility and prepares installment agreement, if needed.
Other duties as assigned