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Recovery Centers of America · 2 days ago

Financial Counselor

Mount Dora, FL

Full-time

Onsite

New Grad, Entry Level

0+ years exp

Recovery Centers of America is seeking a Financial Counselor for their new facility in Mount Dora, FL. The role involves educating and assisting patients with financial arrangements regarding their healthcare services while collaborating with a multidisciplinary team to manage patient financial responsibilities and improve financial health.

Addiction TreatmentHealth CareMedicalPharmaceutical

Hiring Manager

Amy Tomlinson

Responsibilities

Support enterprise revenue and EBITDA targets through managing collection of patient financial responsibility (PFR) and enrollment of patients onto payment plans

Meet with all new patients within 72 hours of admission to review benefit details including estimated financial responsibility

Attend daily flash meeting to notify the multidisciplinary team about any financial issues, concerns, and/or outcomes related to all patient cases

Works closely with the multidisciplinary team daily regarding patient status changes in coverage for treatment services

Ensure all relevant financial forms are completed, signed, and documented according to all RCA policies and procedures

Provide education to patients and families about payment options and financial assistance to cover treatment

Determine and collect payments for financial responsibility including setting up a payment plan when necessary

Accurately document how financial responsibility will be collected

Support and assist in collection of co-pay for outpatient treatment services

Ensure all relevant patient financial information is entered into the electronic system

Ensure financial registration is accurately set up and documented in the electronic health record for patients who are Private Pay

Secure payment for all Private Pay patients including but not limited to treatment services, private room, and Recovery Housing

Secure self-pay for those patients/families who wish to continue treatment but are denied additional time due to not meeting the insurance company's medical necessity criteria

Consistently works to develop new and innovative systems to help maximize patient days

Manage all eligibility processes and patient follow up related to policy changes and policy terminations

Assist patients to reinstate health care benefits when insurance policy has terminated

Coordinate with employers, human resource departments, and insurance companies who provide benefits to determine steps to reinstate health insurance coverage

Identify eligibility for medical and financial assistance programs and assist in completion of the application process when warranted

Stay informed with changes in State and Federal laws and regulations regarding insurance/third party administrators

Manage RCA's Daily Collection Reconciliation processes including accurate reporting of collections and depositing payments according to protocols

Maintains complete documentation of activities performed on account while in-house

Appropriately report and document all interactions with patients, families, employers, etc

Collect fees for professional services provided

Collaborate closely facility leadership and various departments at the Enterprise Support Center (ESC) including the Mission Center, Patient Financial Engagement Specialists (PFES), and the Finance and Operations teams

Participates in data gathering for financial reporting

Conduct face to face discharge meetings with patients, including any account reconciliation and payment arrangement to bring account to a zero balance

Participate in the discharge planning process, including keeping relevant management and treatment staff up to date on progress

Assist with the resolution of authorized days and outcomes related to uncovered days requiring payment and financing

Assist with pharmacy related workflows to ensure pharmacy has banking information for co-pays for all patients

Qualification

Understanding health insuranceMedical terminology knowledgeElectronic health recordsMS Office proficiencyCPT/ICD-9ICD-10 codingVerbal communicationWritten communicationOrganizational skillsProblem solving skillsInterpersonal skillsWork independentlyWork under pressureProficient documentation skills

Required

High school diploma or GED required

Six months previous hospital registration, billing and collections, financial counseling, and/or customer service experience required

Understanding health insurance and benefit details required

Medical terminology knowledge required

Excellent verbal and written communication skills required

Excellent organizational skills with the ability to prioritize workload and meet deadlines required

Must be able to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands

Proficiency in MS Office software

Excellent interpersonal skills

Strong problem solving, decision-making, and time management skills

Ability to plan well and prioritize work

Ability to work independently and within a team

Ability to work under pressure

Ability to negotiate or overcome barriers

Proficient documentation skills

Demonstrate the ability to understand and react effectively to the changing needs of families and clients

Ability to multi-task and appropriately prioritize responsibilities in a fast-paced environment, with strong focus on attention to detail, and excellent communication skills

Accurate and fast computer skills