PROCESSING APPLICATION
Hold tight! We’re comparing your resume to the job requirements…

ARE YOU SURE YOU WANT TO APPLY TO THIS JOB?
Based on your Resume, it doesn't look like you meet the requirements from the employer. You can still apply if you think you’re a fit.
Job Requirements of Financial Counselor:
-
Employment Type:
Full-Time
-
Location:
Tuscaloosa, AL (Onsite)
Do you meet the requirements for this job?
Financial Counselor
The Financial Counselor will be responsible for conducting eligibility screenings, assessment of patient financial requirements, and counseling patients on insurance benefits and copayments. This role is accountable to work with vendors, billing, and/or case management to ensure secured reimbursement to DCH prior to services or before patient is discharged and mitigates at risk accounts.
Responsibilities
- Interviews patient to obtain legal relevant medical information and all required documentation for eligibility determination and accurate application completion to avoid rejections/delay in payment; increase to AR.
- Screen and evaluate patients for existing insurance coverage, federal and state assistance programs or hospital charity application.
- Screen uninsured patients for state and federal insurance programs; Medicaid, All Kids Marketplace, Medicare or VA Programs.
- Counsels patients on insurance benefits, copayments, and coinsurance amounts. Assists patients with payments, payment plans, or applicable options to ensure DCH is reimbursed for services rendered.
- Operates as collector to accept patient payments via cash, credit or checks. Documents applicable systems and provides patient receipts.
- Ensures all insurance, demographic, and eligibility information is entered into the EMR accurately and appropriate signatures are obtained on all required forms for clean claim processing.
- Serves as a liaison between the patient, hospital, and governmental agencies; actively involved in financial areas of case management for supportive patient advocacy for best patient experience.
- Initiates and completes charity application on at risk accounts or items not obtained at the time of registration to avoid financial loss or payment denial for DCH.
- Maintains proper follow-up with the patient and governmental agency caseworkers to ensure timely processing to include request for additional information.
- Works report each week and documents account notes of application status for all pending applications.
- Escalates at risk accounts to leadership.
- Reviews financial data and multiple program requirements to determine possible Marketplace eligibility or other government insurance.
- Determines estimates for patients to secure adequate payment arrangement with patient for scheduled services in compliance with No Surprise Act.
- Provides reports and analysis to Assistant Director on insurance discoveries or secured Medicaid, Marketplace, or charity applications.
- Participates in process improvement activities and efficient workflow between Patient Access and Billing for Clean Claim Processing.
- Exercises problem-solving skills independently or within a group setting for best financial outcomes.
- Verifies or re-verifies benefits or initiates or obtains authorization and/or referrals to include validation of traditional or HMO plans, commercial coverages within payer timelines to ensure reimbursement to DCH.
- Works collaboratively with Case Management and Discharge Planning for awareness of community resources to engage patient and family members as needed.
- Maintains understanding of all regulatory, HIPAA and payer guidelines.
DCH Standards:
- Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
- Performs compliance requirements as outlined in the Employee Handbook.
- Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues, and with self.
- Performs essential job functions in a manner that ensures the safety of patients, visitors, and employees.
- Identifies and reduces unsafe practices that may result in harm to patients, visitors, and employees.
- Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors, and employees.
- Requires use of electronic mail, time and attendance software, learning management software, and intranet.
- Must adhere to all DCH Health System policies and procedures.
- All other duties as assigned.
Qualifications
- Associate Degree OR High School diploma/GED with prior advocacy/Revenue Cycle experience of at least two years in a healthcare setting.
- Must be able to use computer efficiently to register patients in a timely manner.
- Good communication skills. Must have a pleasant voice and speak with clarity.
- Must be able to interact well with the public and staff.
- Must be able to read, write, and speak English.
WORKING CONDITIONS
Carry up to 30 pounds, occasionally required to push, pull, bend and lift. Ability to push a wheelchair, assisting with entry or exit. Able to stand, walk, kneel, sit or stoop with good balance for extended periods of time or when visiting patient rooms or clinical units to interview patient and obtain information. Vision and hearing normal or corrected to normal. Can write legibly. Must have ability to communicate with others. Mental capability to maintain patient confidentiality 100% of the time. Subject to stress and fatigue.
#J-18808-Ljbffr
Recommended Skills
- Billing
- Business Process Improvement
- Case Management
- Claim Processing
- Clinical Works
- Finance
Help us improve CareerBuilder by providing feedback about this job: Report this job
Job ID: ln8d3ob
CareerBuilder TIP
For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.
By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.