Financial Counselor

Driscoll Children's Hospital•Corpus Christi, TX

1d•Onsite

About The Position

This position is responsible for the support functions necessary to accomplishing the objective of the department, which include patient accounting, insurance and patient account follow up, variance reconciliation and coordination of benefits, reimbursement verification, and appealing denials. The role emphasizes compassion, innovation, and technology within a team-oriented environment.

Requirements

High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience
Knowledge, skill, and/or ability required to perform essential duties satisfactorily

Responsibilities

Maintains utmost level of confidentiality at all times
Adheres to hospital policies and procedures
Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines
Adheres and complies with customer service standards and dress code as set forth by the hospital and the department
Answers the department telephone immediately or within three rings utilizing courtesy and patience
Greet patients and their families with courtesy and concern for their needs
Listens to customer needs and takes appropriate action as indicated
Document telephone encounters
Work with outside collection vendors to resolve account issues as indicated
Financially screen patients for medically needy program as assigned
Follow up with patients as necessary to finalize medically needy determinations
Document HHSC determinations and update patient accounts as indicated
Resolve any billing issues to ensure appropriate reimbursement that is expected
Review patient demographic and financial data to ensure accuracy
Validate payer information is accurate and in the correct billing order for accurate reimbursement
Work to resolve disputes between the insurance subscriber or member and their insurance company
Manage denial appeals as indicated
Create and maintain referral records and group to Auth cert records within EPIC
Review patient accounts to ensure proper policy and processes are followed
Identify patients with multiple same day visits to combine accounts when applicable
Review and validate billing process to ensure Federal and state guidelines are followed
Review and validate cashier process to ensure appropriate reconciliation
Verification and documentation of insurance eligibility and coverage for anticipated procedures
Work with clinical case management to identify accounts or payers that are not reimbursing appropriate to the authorization