Sr Patient Financial Counselor - Clarkson Tower

Nebraska Medicine•Omaha, NE

5d•Onsite

About The Position

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: First Shift (United States of America) Shift Details: M-F 8am - 4:30 pm Why Work at Nebraska Medicine? Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration. Leading Health Network Work with the region’s top academic health network, partnering with UNMC to transform lives through education, research, and patient care. Dignity and Respect: We value all backgrounds and experiences, reflecting the communities we serve. Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Enjoy support for your personal growth within the organization, from those just starting their healthcare careers to those who are years down the path. Be part of something extraordinary at Nebraska Medicine! Serves as a financial steward for the patient and the organization. Primary focus area is hospital inpatient to support discharge planning in partnership with Case Management and Social Work and complex outpatient areas. Role requires the ability to formulate a financial strategy for the patient and the organization to ensure patient clinical needs and organizational financial needs are met. Face to face and bedside patient contact required to facilitate completion of applications for coverage through Medicaid, Marketplace and/or disability, monitor status, and assist patients with scheduling of hearings or other items as required. Strategy requires interpretation of managed care contracts, expertise in routine third party reimbursement, knowledge of medical necessity, research requirements, appeal processes and/or Medicare and Medicaid rules. Complete cost estimates and follow guidelines associated with pre-payment process. Analyzes payments and payment accuracy comparing billed charges to payment and expected reimbursement for commercial, invoice and governmental payers. Position is required to be onsite.

Requirements

The following combination of education/experience will be considered: Six years healthcare and/or insurance/third party reimbursement or administrative customer service experience AND High School Degree/GED required Four years healthcare and/or insurance/third party reimbursement or administrative customer service experience AND Associate’s degree in business administration, healthcare or related field required Two years healthcare and/or insurance/third party reimbursement or administrative customer service experience AND Bachelor's degree in business administration, healthcare or related field required
Knowledge of hospital and/or professional revenue cycle processes required.
Ability to work with diverse customer base through effective verbal and written communication required.
Multi-tasking and problem solving abilities required.
Knowledge of computer based programs including Microsoft Word and Excel required.
Strong verbal and written communication skills required.
Strong organizational skills with aptitude for detail oriented work required.
Ability to type a minimum of 45 words per minute with 95% accuracy required.
Certification through hospital or professional revenue cycle organization required or obtained within 6 months.
Obtain and maintain Notary Commission (paid for by the department)
Obtain and maintain Certified Marketplace Counselor (completed within the department)

Nice To Haves

Prior experience with both hospital and physician revenue cycle with billing and Epic systems preferred.
Membership in hospital or professional revenue cycle preferred.

Responsibilities

Serves as a financial steward for the patient and the organization.
Formulate a financial strategy for the patient and the organization to ensure patient clinical needs and organizational financial needs are met.
Face to face and bedside patient contact required to facilitate completion of applications for coverage through Medicaid, Marketplace and/or disability, monitor status, and assist patients with scheduling of hearings or other items as required.
Strategy requires interpretation of managed care contracts, expertise in routine third party reimbursement, knowledge of medical necessity, research requirements, appeal processes and/or Medicare and Medicaid rules.
Complete cost estimates and follow guidelines associated with pre-payment process.
Analyzes payments and payment accuracy comparing billed charges to payment and expected reimbursement for commercial, invoice and governmental payers.