Patient Financial Counselor

Providence • Missoula, MT

6d

About The Position

Patient Financial Counselor - CREDIT AND COLLECTION MT PSPH MISSOULA, Providence St. Patrick Hospital, Missoula, MT One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC's objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise. The Financial Counselor has direct personal contact with PH&S patients and their families during difficult times and is responsible for easing their way in the resolution of patient accounts. This includes: Interviewing patients/guarantors to provide information, education and advice options for funding for services provided by PH&S; Identifying and assisting patients/guarantors in obtaining other sponsorship including third party liability, workers compensation, COBRA, government health or other programs, and free or discounted drug programs etc; Qualifying patients/guarantors who may be eligible for assistance under PH&S Charity Policies and Procedures and helping them through the application process; Working regularly with providers about patient care plans including medication assistance programs, clinic treatment plans and discharge to ensure charity approvals are appropriate based on clinical as well as financial need; Making charity determinations within approval limits; Following up with patients/guarantors to discuss resolution of account balances remaining after insurance or other sponsorship/charity approval, including payment plans and discounts under PH&S and ORC discount policies; Working proactively with patients/guarantors to resolve account balances, ensuring only those accounts that are truly uncollectible drop to self pay. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence St. Patrick Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Requirements

• Experience in automated/computerized account follow up system(s)

Nice To Haves

• Coursework/Training in medical terminology, medical billing or a related medical business field
• 3 years of experience in Financial Counseling, patient financial services or medical billing in a hospital Business Office
• Experience with medical and health plan terminology and medical necessity requirements, CPT codes and ICD-9 coding

Responsibilities

• Interviewing patients/guarantors to provide information, education and advice options for funding for services provided by PH&S
• Identifying and assisting patients/guarantors in obtaining other sponsorship including third party liability, workers compensation, COBRA, government health or other programs, and free or discounted drug programs etc
• Qualifying patients/guarantors who may be eligible for assistance under PH&S Charity Policies and Procedures and helping them through the application process
• Working regularly with providers about patient care plans including medication assistance programs, clinic treatment plans and discharge to ensure charity approvals are appropriate based on clinical as well as financial need
• Making charity determinations within approval limits
• Following up with patients/guarantors to discuss resolution of account balances remaining after insurance or other sponsorship/charity approval, including payment plans and discounts under PH&S and ORC discount policies
• Working proactively with patients/guarantors to resolve account balances, ensuring only those accounts that are truly uncollectible drop to self pay.

Benefits

• Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.
• We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
• Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits.
• Changes in benefits, including paid time-off, happen for various reasons.
• These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees