Patient Financial Counseling

Scottish Rite for Children•Frisco, TX

5d•Onsite

About The Position

Our patients are our number one priority! We're committed to giving children back their childhood! Job Posting Title: Patient Financial Counseling Location: Frisco - Ambulatory Surgical Center Additional Posting Details: Monday - Friday 8:00am - 4:30pm Job Description: Duties/Responsibilities Accurately process charity adjustments based on Crayon Care enrollment status, which includes identifying the greater discount between the Amount Generally Billed (AGB) and the charity discount. Provides and accurately processes Crayon Care applications based on hospital charity policy and send appropriate correspondence letters to patients’ families. Add insurance coverage and update the billing system to reflect the insurance status of the patient including pharmacy coverage when needed. Appropriately document information in the medical record consistent with departmental standards. Maintain working knowledge of state managed care plans and screen self-pay patients for possible eligibility on Medicaid and CHIP programs. Manage incoming inquiries regarding payments, charity care, insurance coverage benefits, billing disputes, prior authorizations, patient complaints, outpatient and surgical estimates, payment plans, and any other patient family request. Work with families by providing information on changing manage care plans as needed. Explain bills, itemized statements, and any other patient correspondence accordingly. Manages all necessary registration and claims corrections that may arise to ensure accurate billing. Accurately process estimates for services based on patients benefits or non-benefits. Assist with departmental coverage when needed. Supports hospital and departmental initiatives, change efforts, and improvement goals. Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality, and patients’ rights, guides in this area. Engages in strong communication, acts as team player in supporting mission and vision of organization, and abides by organization core values. At Scottish Rite for Children, we work together with the common goal of helping give children back their childhood. Scottish Rite is a unique place to work because we believe in a collaborative approach, utilizing the care and expertise from all departments. We are always looking for caring, energetic individuals to join our team. We currently have locations in Dallas and Frisco and is an equal opportunity employer. For questions, contact [email protected].

Requirements

High school diploma required
Two to five years’ experience working in hospital patient access and/or billing, physician office billing and collections, or an equivalent combination of relevant education and/or experience

Nice To Haves

Bachelor's degree preferred
Strong analytical skills preferred
Bilingual preferred

Responsibilities

Accurately process charity adjustments based on Crayon Care enrollment status, which includes identifying the greater discount between the Amount Generally Billed (AGB) and the charity discount.
Provides and accurately processes Crayon Care applications based on hospital charity policy and send appropriate correspondence letters to patients’ families.
Add insurance coverage and update the billing system to reflect the insurance status of the patient including pharmacy coverage when needed.
Appropriately document information in the medical record consistent with departmental standards.
Maintain working knowledge of state managed care plans and screen self-pay patients for possible eligibility on Medicaid and CHIP programs.
Manage incoming inquiries regarding payments, charity care, insurance coverage benefits, billing disputes, prior authorizations, patient complaints, outpatient and surgical estimates, payment plans, and any other patient family request.
Work with families by providing information on changing manage care plans as needed.
Explain bills, itemized statements, and any other patient correspondence accordingly.
Manages all necessary registration and claims corrections that may arise to ensure accurate billing.
Accurately process estimates for services based on patients benefits or non-benefits.
Assist with departmental coverage when needed.
Supports hospital and departmental initiatives, change efforts, and improvement goals.
Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality, and patients’ rights, guides in this area.
Engages in strong communication, acts as team player in supporting mission and vision of organization, and abides by organization core values.