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DCH Health System · 17 hours ago

Financial Counselor

Tuscaloosa, AL

Full-time

Onsite

Entry Level

2+ years exp

DCH Health System is seeking a Financial Counselor responsible for conducting eligibility screenings and counseling patients on their financial requirements. The role entails working with various stakeholders to ensure reimbursement and providing support to patients regarding their insurance benefits and payment options.

Health CareHospitalMedical

Responsibilities

Interviews patient to obtain legal relevant medical information and all required documentation for eligibility determination and accurate application completion avoid rejections /delay in payment; increase to AR

Screen and evaluate patients for existing insurance coverage, federal and state assistance programs or hospital charity application

Screen uninsured patients for state and federal insurance programs; Medicaid, All Kids Marketplace, Medicare or VA Programs

Counsels patients on insurance benefits, copayments, and coinsurance amounts. Assist patients with payments, payment plans, or applicable options to ensure DCH is reimbursed for services rendered

Operates as collector to accept patient payments via cash, credit or checks. Documents applicable systems and provides patient receipts

Ensures all insurance, demographic, and eligibility information is entered into the EMR accurately and appropriate signatures are obtained on all required forms for clean claim processing

Serves a liaison between the patient, hospital and governmental agencies; actively involved in financial areas of case management for supportive patient advocacy for best patient experience

Initiates and completes charity application on at risk accounts or items not obtained at the time of registration to avoid financial loss or payment denial for DCH

Maintains proper follow-up with the patient and governmental agency caseworkers to ensure timely processing to include request for additional information

Works report each week and documents account notes of application status for all pending applications

Escalates at risk accounts to leadership

Reviews financial data and multiple program requirements to determine possible Marketplace eligibility or other government insurance

Determines estimates for patients to secure adequate payment arrangement with patient for scheduled services in compliance with No Surprise Act

Provides reports and analysis to Assistant Director on insurance discoveries or secured Medicaid, Marketplace or charity applications

Participates in process improvement activities and efficient workflow between Patient Access and Billing for Clean Claim Processing

Exercises problem solving skills independently or within a group setting for best financial outcomes

Verifies or re-verifies benefits or initiates or obtains authorization and/or referrals to include validation of traditional or HMO plans, commercial coverages within payer timelines to ensure reimbursement to DCH

Works collaboratively with Case Management and Discharge Planning for awareness of community resources to engage patient and family members as needed

Maintains understanding of all regulatory, HIPAA and payer guidelines

Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation

Performs compliance requirements as outlined in the Employee Handbook

Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self

Performs essential job functions in a manner that ensures the safety of patients, visitors and employees

Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees

Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees

Requires use of electronic mail, time and attendance software, learning management software and intranet

Must adhere to all DCH Health System policies and procedures

All other duties as assigned

Qualification

Financial counselingInsurance benefits knowledgeEligibility determinationEMR data entryPatient advocacyRegulatory knowledgeCustomer serviceBilingual (English)Problem solvingCommunication skillsTeam collaboration

Required

Associate Degree OR High School diploma/GED with prior advocacy/Revenue Cycle experience of at least two years in a healthcare setting

Must be able to use computer efficiently to register patients in a timely manner

Good communication skills. Must have a pleasant voice and speak with clarity

Must be able to interact well with the public and staff

Must be able to read, write and speak English

Carry up to 30 pounds, occasionally required to push, pull, bend and lift

Ability to push a wheelchair, assisting with entry or exit

Able to stand, walk, kneel, sit or stoop with good balance for extended periods of time or when visiting patient rooms or clinical units to interview patient and obtain information

Vision and hearing normal or corrected to normal

Can write legibly

Must have ability to communicate with others

Mental capability to maintain patient confidentiality 100% of the time

Subject to stress and fatigue