Lindner Center of HOPE · 1 month ago
Financial Counselor (.8 FTE)
Mason, OH
Part-time
Onsite
Mid Level
3+ years expLindner Center of Hope is a nonprofit mental health center and leader in innovative treatment. The Financial Counselor serves as the primary contact for patients and families regarding financial assistance and insurance coverage, ensuring smooth financial processes for both patients and the center.
Health CareMedicalMental HealthNon Profit
Responsibilities
This position is responsible for conducting financial interviews with inpatients, residential patients, and any outpatients
The Financial Counselor works with health insurance providers to determine coverage and benefit levels and provides information regarding hospital payment options and financial assistance programs
Completes necessary forms in accordance with hospital policies
Meets with patients admitted during the business day to complete the formal admission into the EMR system by collecting and verifying patient demographic and insurance information
Will also take the patient’s picture and save the image in the EMR system to be used on the patient face sheet and wristband as dictated by department protocol
Obtains the appropriate signatures on consents and assignment of benefits
Scans insurance cards, picture ID, and other appropriate documents into the document imaging system
If patient presents with new insurance, assists with insurance eligibility and benefits verification electronically
Contacts the patient or responsible party by phone to complete pre-registration and obtain or verify all demographic and insurance information making updates or corrections in the patient account system as appropriate
Screens for medical necessity and completes the Medicare Secondary Payer Questionnaire for all Medicare patients during the pre-registration process
Calls applicable insurance companies to obtain facility and professional mental health, substance abuse and eating disorder benefits
Accurately documents insurance benefits and patient’s financial liability in the appropriate fields of the patient account system
Alerts team members to any insurance coverage issues immediately
Follows up with patient/patient representative until resolved
When loading benefits, performs audit of accounts to ensure all of the required demographic, insurance, financial forms, and contracts are obtained and documented in the electronic medical record
Communicates applicable deductible, co-pay, or coinsurance to patient during pre-registration or upon check-in
Collects co-pay, deductible or other out-of-pocket liability including residential self-payments
Accurately posts the payment to the patient account system and receipts the patient
Sets payment arrangements as appropriate
Refers the patient to the financial counselor as need arises
Prepare patient cost estimates
Review the process for filing insurance claims for inpatient, residential, PHP, ECT, TMS, IOP, and Outpatient as needed
Assess the patient’s need for financial assistance during the admission process or at a time prior to the patient’s discharge
Determines patient eligibility for Charity care for inpatient/outpatient levels of care
Completes reviews of the charity application in accordance with the LCOH charity care policies
Obtains the final approval of the application from the Registration Manager prior to notification to the patient or family
Determines when renewal of charity applications need completed
Sends letter to patient notifying them of eligibility for charity care and charity amount
Provides education / counseling to self-pay patients regarding available government coverage options
Monitor financial counseling workqueues in EPIC for currency
Serve as the initial contact for determining out of network benefits and obtaining information for potential single case agreements or reimbursement
Work with Intake staff and other clinical teams on initial referrals to inpatient or other LCOH programs to confirm coverage levels prior to admission
Work with the CFAO to determine feasibility of single case agreements
Meets with the Utilization Review team routinely to discuss admissions that are a financial risk to the center
Coordinates with Intake and OPP staff to obtain appropriate authorizations, as evidenced by lack of denials for no authorization
Accurately enters authorization number(s), and authorized dates and services in the appropriate field of the patient account system
Communicates any applicable deductible, co-pay, or coinsurance to patient prior to their visit, making arrangements for payment as appropriate
Works closely with clinical team and insurance companies to get treatment plans completed and to obtain the clinical information needed for insurance authorizations for ECT, TMS and Outpatient services
Tracks services received and follow-up with the insurance company to obtain additional authorization as needed
In connection with the registration manager, work with Intake/ARC, outpatient registration, residential admissions and utilization review departments to ensure benefit verifications authorizations, helping hands applications, probono, financial assistance applications and other insurance related questions both internally and externally are addressed timely
Completes a note in the system on all discussions, events and outcomes regarding patient accounts
Responds to all inquiries regarding patient accounts, financial assistance policy and network status
Maintains a working knowledge of the various LCOH and LCOHPA service lines
Stays abreast of third-party payer requirements
Attends seminars and courses on relevant topics as directed by management
This position works closely with Intake outpatient, Central Registration, Medical Records, Social Services, Utilization Review and Billing on a daily basis
Maintains effective communication and cooperative working relationships with other departments, staff, medical staff, patients, and visitors
Patient communication is conducted in a manner that will result in positive patient relations and prompt payment for Lindner Center of HOPE
Demonstrates poise and compassion when handling patient financial situations and consider all possibilities to provide the patient with the most appropriate options for their situation
Completes productivity requirements timely and accurately
Assists the ECT, TMS, Financial Counselor and Welcome Center Registration Specialists with registration duties during busy times
Performs all other duties as assigned
Qualification
Required
High school diploma required
Minimum of 3 years' experience in healthcare required
Must have experience conducting face to face interviews with Collections and/or Medical Billing experience
Must have a working knowledge of third-party payer contract terms and the ability to calculate patient liabilities
Excellent communication, customer service and math skills along with a high degree of confidentiality are required
Must have strong computer skills including Excel and Word
Analytical and decision-making skills with a strong attention to detail required
Ability to enthusiastically follow and model the Lindner Center of HOPE mission, vision and values
Preferred
Associates degree preferred
Experience working in mental health setting preferred
Company
Lindner Center of HOPE
Lindner Center of Hope is a nonprofit mental health center that offers comprehensive services for mental illness and addiction issues.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Jan Marhefka
Chief Nursing Officer
Jennifer Pierson
Chief Brand and Advancement Officer
Recent News
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