McPherson Hospital, Inc. ยท 1 month ago
Financial Counselor/ Pre-Certification Clerk Full Time Days
McPherson, KS
Full-time
Onsite
Entry Level
2+ years expMcPherson Hospital, Inc. is seeking a Financial Counselor/ Pre-Certification Clerk to assist patients with payment plans, charity applications, and insurance billing inquiries. The role involves obtaining authorizations from insurance companies and verifying patient eligibility for services, all while providing excellent customer service.
Health CareHealth DiagnosticsNursing and Residential CareRehabilitation
Responsibilities
Screen patient accounts and process referrals, assess and identify patient financial needs through interviews and/or phone calls; collect necessary documentation for financial assistance and assist patients as needed to complete applications
Identify patient accounts requiring adjustment and communicate to PFS Supervisor
Provide estimates to patients and/or hospital personnel as requested
Provide exceptional customer service to patients and payers by responding to inquiries received via phone, email, or in-person
Process patient payments and establish payment plans
Review weekly and/or monthly reports from collections agencies
Contact patients to obtain updated information to ensure timely and accurate billing
Verify insurance information through payer contacts via telephone, online resources, or electronic verification systems
Identify payer authorization/referral requirements and work with physician offices and insurance carriers (Medicare, Medicaid, government and commercial) to obtain prior authorizations
Provide appropriate documentation and follow up to patients, physician offices, case management/utilization review and payers regarding authorization/referral deficiencies
Work with surgical, clinic, and other teams to coordinate timely patient care
Identify private-pay and/or underinsured patients and refer account(s) to Patient Financial Service Representative
Maintains up-to-date information on various insurance companies and any relevant changes; communicates changes to team
Exercise ethical and sound judgement to complete all tasks in a timely manner
Other duties as necessary
Qualification
Required
Highschool diploma or equivalent
2+ years experience in a hospital or medical clinic setting preferred
High level of literacy with personal computers, including prior experience importing & exporting data files
Entry-level skills in Microsoft Office, including Excel, Outlook, and Word
Excellent interpersonal skills demonstrated through interactions within teams, staff, and management
Ability to work in a changing environment and be able to change duties at a moment's notice
High level of accountability, willingness to learn, and enthusiasm
Ability to independently and proactively inquire and check-in with manager regarding progress updates
Must be comfortable with a fast paced, free flowing environment with a strong degree of autonomy
Ability to multitask and remain focused while managing a high-volume, time-sensitive workload
Detail oriented with above average organizational skills
Plans and prioritizes to meet deadlines
PC skills required to become proficient in the use of a variety of computer-based systems
Exceptional follow-through and job execution skills - obtaining authorizations timely and following accounts through payment
Must be familiar with office equipment typically found in a business office environment
Basic knowledge of medical terminology
Benefits
Medical Insurance
Dental
Vision
Health Savings Account
Flex Spending Account/Dependent Care Spending Account
Hospital Indemnity
Life Insurance- Employer Paid
Long-Term Disability/ Short-Term Disability-Employer paid
Voluntary Life & AD&D
MASA- Medical Transportation Solutions
403 (b) Retirement Plan- up to 4% employer contribution
Earned Time Off
Extended Illness Bank-Hospital contribution
Free 24-hour fitness center
Company
McPherson Hospital, Inc.
Mission Statement: Superior health care and exceptional service for each person, every time.
201-500 employees
Funding
Current Stage
Growth StageRecent News
Company data provided by crunchbase