Patient Access Financial Counselor - Patient Access

Nationwide Children's Hospital•Columbus, OH

1d•Onsite

About The Position

Overview: 7:30-4pm Monday-Friday Job Description Summary: Provides counseling to inpatients and outpatients for financial responsibility. Serves as the primary contact for patients and families regarding financial assistance, and insurance coverage eligibility. Partners with the managed care group to determine advanced verification of insurance, pre-certification, and benefit determination. Job Description: Essential Functions: Interviews patients and/or family members to secure information concerning insurance coverage, eligibility, and qualification for various financial assistance programs. Meets with patients/families on the unit to obtain information that was not collected during the admission process and completes registration items, (i.e. insurance cards, prescription cards, correct demographic information etc.). Assesses the patient’s need for financial assistance during the admission process or at a time prior to the patients discharge. Determines patient eligibility for charity care for inpatient/outpatient level of care. Completes the charity application in accordance with NCH charity care policies. Forwards applications to Patient Accounts for final review and approval. Completes notes in the EPIC system on all discussions, events and outcomes. Responds to all inquiries regarding patient accounts and financial assistance policies. Maintains effective communication and cooperative working relationships with other departments, staff, patients and visitors. "The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet" The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children’s Hospital, Where Passion Meets Purpose. Here, Diversity, Equity and Inclusion are integrated into our core values and practices. We are passionate about building, sustaining and evolving an inclusive and equitable environment. We are seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission. We’re 15,000 strong. And it takes every one of us to improve the lives of the kids we care for, and the kids around the world we’ll never meet. Kids who live healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere. Ask anyone with a Nationwide Children’s badge what they do for a living. They’ll tell you it’s More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere. Nationwide Children’s Hospital. A Place to Be Proud.

Requirements

High school graduate, required.
Excellent customer service and communication skills.
Ability to work and problem solve with minimal supervision.
Analytical and decision-making skills with a strong attention to detail required.
Ability to understand and retain complex and quickly changing information.
Knowledge of the impact of managed care trends on hospital operations.
Familiar with medical terminology.
Able to function as a team member responsible for staffing operational hours.
Ability to adapt to change positively in workflow and process.
Keyboarding/typing/data entry skills.

Nice To Haves

Associates degree preferred.
Two years’ experience in registration, collections, customer service, billing or related medical field, preferred.
Familiarity with government, commercial and third-party billing, preferred.

Responsibilities

Interviews patients and/or family members to secure information concerning insurance coverage, eligibility, and qualification for various financial assistance programs.
Meets with patients/families on the unit to obtain information that was not collected during the admission process and completes registration items, (i.e. insurance cards, prescription cards, correct demographic information etc.).
Assesses the patient’s need for financial assistance during the admission process or at a time prior to the patients discharge.
Determines patient eligibility for charity care for inpatient/outpatient level of care.
Completes the charity application in accordance with NCH charity care policies.
Forwards applications to Patient Accounts for final review and approval.
Completes notes in the EPIC system on all discussions, events and outcomes.
Responds to all inquiries regarding patient accounts and financial assistance policies.
Maintains effective communication and cooperative working relationships with other departments, staff, patients and visitors.

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