Financial Counselor

Prime Healthcare•Dover, NJ

23d•Onsite

About The Position

At Saint Clare's Health, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Saint Clare's Health is actively seeking new members to join its award-winning team! Saint Clare's Health includes CMS 5-Star Rated hospitals and is an award-winning provider of safe, high quality, compassionate care, serving the communities of Morris, Warren and Sussex counties. Its network of hospitals and healthcare facilities include Denville Hospital, Dover Hospital, Behavioral Health Centers in Boonton, Denville, and Parsippany, and an Imaging Center in Parsippany, among other satellite locations. The hospitals have received multiple quality awards including Leapfrog “A” ratings for patient safety; Healthgrades recognition for orthopedic surgery, treatment of stroke, heart care, various surgical procedures, and more.

Requirements

Knowledge of standard insurance companies and verification requirements.
Well versed in authorization processes for all payers
Ability to multi-task, prioritize needs to meet required timelines
Analytical and problem-solving skills
Customer Services experience required
High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)

Responsibilities

Determines patient liability based on benefits and advises patient of their liability prior to scheduled elective procedures notifies patient of financial responsibility; collection arrangement are made prior to services rendered for all elective care.
Verifies insurance eligibility, and benefits for emergent and urgent admissions, procedures or other services ensuring communication of patient responsibility to the patient or responsible party.
Verifies and secures accurate patient demographic and insurance information, updating patient account information as needed.
Assists patients in making arrangements as needed for patient responsibility by time of discharge for emergent or urgent services.
Screens and refers patients for possible linkage to state, county or other government assistance programs as well as Charity or Discounts as per the facility Charity and Discount policies.
Works closely with Case Management in securing Medicaid/Medical treatment authorizations as needed.
Maintains effective communication skills, including verbal, written and telephone.
Proficient in mathematical skills.