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Sonoma Valley Hospital · 2 months ago

Financial Counselor (32 hours per week)

US-CA-Sonoma

Full-time

Onsite

Entry, Mid Level

$23.43/hr - $30.47/hr

2+ years exp

Sonoma Valley Hospital is seeking a Financial Counselor to assist patients with Hospital Presumptive Eligibility and Charity Care applications. The role involves managing patient accounts, facilitating payment arrangements, and providing education on financial assistance programs.

Health CareHospitalMedical

Responsibilities

Provides assistance to patients with Hospital Presumptive Eligibility (HPE) and Charity Care applications; may act as a liaison between the patient and Patient Advocate Vendor to obtain MediCal

Works though patient's financial obligations, both with and without insurance, and provides assistance with payment arrangements

Responsible for the collection and follow-up of accounts with patient liability in accordance with collection guidelines and facilitates the timely receipt of patient liabilities for hospital services

Evaluates incoming patient calls, visits or correspondence and answers questions, resolves issues and assists with payment arrangements for traditional Self-pay and/or patient balance after insurance; prepares accounts for bad debt write off

Provides assistance to vendor on special requests for payment arrangements, settlements offers, and monitors placement Bad Debt accounts

Escalates urgent financial issues to manager as necessary

Manage and monitor patient accounts uploaded to 3rd party vendors and completes billing record requests

Works independently with a moderate level of supervision

Maintains current knowledge of all financial assistance programs including HPE and Charity Care; provides education/guidance to patients needing to apply for Financial Assistance and provides assistance with completing the required application process

Updates Federal Poverty Level yearly on Charity Care Application

Maintains Patient Advocate vendor data (i.e., MedData) on all active, pending, denied, and/or approved cases, and provides all requested documentation in a timely manner

Provides education/guidance to patients needing to apply for Medi-cal or other Government programs

Assist patients with billing and/or insurance questions, returning calls on a regular/daily basis; resolves complaints and concerns about charges; records patient complaints in electronic compliance reporting system (i.e., MIDAS) in a timely manner

Facilitates the timely receipt of patient liabilities for hospital services by contacting patients directly

Verifies and updates demographic and/or insurance information and generates itemized bills for patients as requested

If insurance is obtained, submits claims to appropriate insurance company(s)

Establishes payment arrangements according to the Sonoma Valley Hospital's policy and processes credit/debit card payments on a daily basis; conducts telephone collections based on queue of self-pay accounts; processes bad debts; issues patient refunds, as appropriate; and receives and process Bankruptcy Notices for hosptial, updates accounts accordingly to zero out debt and reports to collection angency

Provides assistance to vendor on special requests for demographics, payment arrangements, settlements offers, and monitors placement of Bad Debt accounts

Manage and monitor patient accounts uploaded to 3rd party vendors and completes billing record requests

Escalates urgent financial issues to manager as necessary

Process Mail Returns Daily

Provides a variety of other clerical duites as needed, such as opening and sorting hospital mail for each department and scanning financial documents into the EHR system

Qualification

Collection experienceHospital Presumptive Eligibility certificationBilingual in SpanishEnglishMicrosoft Office proficiencyMedical terminology knowledgeCustomer service skillsWritten communication skillsVerbal communication skillsInterpersonal skillsOrganizational skills

Required

High School diploma or equivalency

Minimum two (2) years of collection experience in a healthcare setting, preferably acute care hospital or physician's office with high-call volume

Fluent in both in Spanish and English

Current certification in Hospital Presumptive Eligibility; or obtained within first ninety (90) days

Excellent customer service skills

Excellent written and verbal communication skills

Strong interpersonal skills

Excellent organizational skills

Demonstrated ability to courteously listen to patients who are frustrated with their charges/bills

Demonstrate empathy and compassion and provide information/options to help them manage their situation in a calm and professional manner

Able to coordinate multiple tasks and appropriately manage priorities

Able to professionally manage high-call volume

Able to sit for long periods of time

Proficient in Microsoft Office

Knowledge of medical terminology a plus

Must be bilingual in Spanish

Preferred

Some college preferred

Benefits

Comprehensive benefits package

Company

Sonoma Valley Hospital

Sonoma Valley Hospital (SVH) is a 51-bed, full-service acute care district hospital located in the city of Sonoma, California, and serving a population of approximately 42,000 people residing in the Sonoma Valley Health Care District.

Founded in 1957

Sonoma, California, USA

201-500 employees