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Jefferson Health · 1 day ago

Counselor: Financial-Admission Philadelphia Campus

Philadelphia, PA

Full-time

Onsite

Entry, Mid Level

2+ years exp

Jefferson Health is a nationally ranked health care system dedicated to providing high-quality clinical care and education. The Financial Counselor role involves assisting patients with financial admissions processes, gathering necessary information, and ensuring compliance with medical assistance regulations.

Hospital & Health Care

Responsibilities

Understands the importance Einstein Healthcare Network places on providing exemplary customer service and performs job functions in a manner that helps meet the department customer service goals

Identifies customer service issues and resolves or initiates necessary follow-up

Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information. Explains necessary forms and obtains signatures from patient/guarantor

Utilizes appropriate reports to contact insurance payers, verifying benefits and obtaining necessary authorizations. Documents authorization and benefit information in registration system. Work with payors to resolve accounts that are pending or denied

Screens patient/guarantor for federal, state, county or other assistance programs and completes necessary forms and applications per facility guidelines

Explains insurance benefits and collects current and outstanding co-pays, deductibles and self-pay portions due or establishes payment arrangements for these balances as appropriate

Maintains a working knowledge of third-party reimbursement requirements and regulations

Exhibits working knowledge in the use of all registration and scheduling systems, electronic verification tools and Web based resources

Follows Patient Financial Services self-pay policies including self-pay fee schedules, completion of Medical Assistance and Charity Care Application, explanation of payment options and collections of monies due

Follows Patient Financial Services policies related to cash handling and performs department cashiering functions and point of service transactions

Maintains understanding of the medical necessity screening process and appropriate systems and a working knowledge of ICD-9 and CPT codes

Performs appropriate pre-registration functions including calling physician offices, insurance payers and the patient/guarantor, as necessary

Cross-trained with appropriate knowledge and skills necessary to staff multiple areas within department, including but not limited to Diagnostic/Interventional, Admissions, Cashier, Pre-Registration, Scheduling and Emergency Department

Participates in training of new team members

Work closely with Nursing, Ancillary, Scheduling, Case Management, Social Workers, Managed Care Companies, Physicians, Administration and Patient Accounting

Maintains departmental logs for statistical reporting. Works departmental reports as assigned

Consistently meets Quality Assurance standards set by Patient Financial Services department

Meets departmental goals regarding collections, productivity and customer service

Participates in internal department committees

Assists his/her manager in planning and organizing department activities

The Financial Counselor/MA Specialist interviews in-house patients referred for Medical Assistance applications. Obtains various paperwork from patients and other hospital departments that are necessary to secure applications according to MA regulations. Work with County Assistance office and referral agencies to obtain Medical Assistance approvals. Process and perform system maintenance pertaining to PA 162 forms. Work with Case Management to insure MA 87s are processed according to MA regulations. Provide support for MA biller

Qualification

Customer serviceICD-9 codingHospital business officeMicrosoft WordMicrosoft ExcelWell organizedWork with payorsSelf-motivatedPositive attitude

Required

High School diploma or equivalent

Two (2) years' experience in a financial, business office, or customer service environment required

One Year Hospital Business Office Experience Required

Demonstrated computer skills (including Microsoft Word and Excel)

Working Knowledge of ICD9 coding and medical terminology

Able to work with minimal supervision

Well organized, self motivated individual with a positive attitude

Excellent customer service skills

Ability to work effectively with all payor and hospital personnel

Benefits

Medical (including prescription)

Supplemental insurance

Dental

Vision

Life and AD&D insurance

Short- and long-term disability

Flexible spending accounts

Retirement plans

Tuition assistance

Voluntary benefits

Company

Jefferson Health

Thomas Jefferson University and Thomas Jefferson University Hospitals are partners in providing excellent clinical and compassionate care for our patients in the Philadelphia region, educating the health professionals of tomorrow in a variety of disciplines and discovering new knowledge that will define the future of clinical care.

Founded in 1995

Philadelphia, PA, US

5001-10000 employees