PATIENT FINANCIAL COUNSELOR

Premier Health • Troy, OH

74d

About The Position

The Patient Financial Counselor (FC) supports the PHP mission, vision and values by serving as the hospital’s primary contact for resolution of the patient’s account balance, in accordance with PHP policies. The FC serves to help patients, especially those who are uninsured, underinsured, and have low incomes, assess and determine a plan for resolution of their financial responsibilities. This includes establishing payment plans and other financial arrangements, evaluating patient’s eligibility for Medicaid, state and hospital-sponsored charity care programs and other available funding sources such as grants. The FC is also responsible for calculating and collecting the patients’ estimated balances at pre-service or at the point of service. The FC understands the hospital’s financial and discounting policies and possesses the ability to use critical thinking skills to provide the best resolution based upon the patient’s situation. The FC collaborates with other departments within the hospital and outside eligibility vendors as necessary. The FC uses financial systems to document data and conducts procedures to assist the patient in filing for Medicaid and/or other public assistance programs. Integrity, good judgment, and trust are also necessary to ensure patient confidentiality.

Requirements

• High School completion / GED required.
• 3 - 5 years of job related experience required.
• Overall knowledge of patient registration, third party collections, verification of insurance benefits, Medicaid and other government programs, financial assistance, hospital billing and/or managed care contracts required.
• Good math skills and ability to pass a skills test including calculating co-pays and deductibles required.

Nice To Haves

• Associates Degree preferred in related field.
• Experience working with the public preferred.
• Courses/workshops in compliance, medical self-pay accounts receivable management, Medicaid, medical billing preferred.
• Familiarity with statutes and regulations regarding self-pay collections practices and financial assistance preferred.
• 4+ years of recent financial assistance, billing, insurance verification, or self-pay accounts receivable management experience in a healthcare/medical setting or financial institution setting preferred.
• Prefer minimally one-year experience in a hospital, medical office/clinic, or insurance company.

Responsibilities

• Serve as the primary contact for resolution of patient account balances.
• Help patients assess and determine a plan for financial responsibilities.
• Establish payment plans and financial arrangements.
• Evaluate patient eligibility for Medicaid and other funding sources.
• Calculate and collect estimated patient balances at pre-service or point of service.
• Collaborate with other departments and outside vendors.
• Document data using financial systems.
• Assist patients in filing for Medicaid and public assistance programs.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees