Job Summary - The Financial Counselor is responsible for reviewing the Financial Clearance Worklist daily and visiting in-house patients; collecting estimated patient liability amounts; explaining all financial information, responsibilities and working closely with outside agencies to ensure patient's financial coverage.
Supervisor - Patient Access Manager/Supervisor
Supervises - not applicable
Duties (included but not limited to):
• Follow AIDET guidelines in all interactions with the patient
• Demonstrates excellent customer service
• In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house
• Provide estimates to patients and/or physicians as requested
• Generate insurance verification and precertification reports daily and follow up with case management and insurance verification departments as appropriate
• Follows all guidelines set forth in the Cash Handling policy.
• Utilizes eligibility systems, on-line websites or phone calls to determine insurance benefits and precertification requirements
• Assist patients with payment arrangements and in co-ordination with the Medicaid Eligibility Staff assists patient with financial applications
• Contact patient employer, if necessary, for verification of employment, premium status, babies being added to policies.
• Escalates any concerns as needed to Patient Access Manager/Supervisor
• Enter pertinent insurance information into the HIS system (i.e. Meditech)
• Enters appropriate notes for all patient encounters
• Maintain professional image and implement excellent customer service to customers
• Complete financial analysis and collect estimated patient liabilities
• Follow up with patients for necessary signatures if they were incomplete at time of hospitalization
• Attends in-service presentations, and completes mandatory education, including but not limited to, infection control, patient safety, quality improvements, MSDS and OSHA standards.
• Demonstrates knowledge of occurrence reporting system and utilizes system to report potential patient safety issues.
• Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
• Other duties as assigned
KNOWLEDGE, SKILLS & ABILITIES
• Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
• Interpersonal skills - able to work effectively with other employees, patients and external parties
• PC skills - demonstrates proficiency in Microsoft Office applications and others as required
• Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
• Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.
High school diploma or GED required.
One year of related experience required.
CERTIFICATE/LICENSE - N/A
PHYSICAL DEMANDS/WORKING CONDITIONS
Requires prolonged sitting/standing for up to 7 - 8 hours, some bending, stooping, walking and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports or other information. Requires lifting papers/boxes and pushing/pulling up to 25 pounds occasionally. Work is performed in an office environment or hospital setting. Pushing computer cart on wheels for up to 7 - 8 hours. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.
OSHA CATEGORY - The normal work routine involves no exposure to blood, body fluids, or tissues (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency care or first aid, or to be potentially exposed in some other way.
A little about us:
HCA is the nation’s leading private provider of healthcare services. Comprised of locally managed facilities which include 230,000 employees at over 160 hospitals, over 120 surgery centers and 100 urgent care facilities in 20 states and the United Kingdom