Financial Counselor I - ORMC ONC Authorization jobs in United States
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Orlando Health · 10 hours ago

Financial Counselor I - ORMC ONC Authorization

Orlando Health is a trusted healthcare organization serving communities across Florida, Central Alabama, and Puerto Rico. The Financial Counselor I will assist patients and their families in understanding payment processes and provide exemplary customer service while ensuring accurate collection of financial information and authorizations.

Health CareHospitalMedicalNon Profit

Responsibilities

Understands the importance Orlando Health places on providing exemplary customer service and performs job functions in a manner that helps meet the department customer service goals
Demonstrates a positive and professional approach and communicates effectively with customers and team members at all times
Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information
Contacts Primary Care or Admitting Physician to obtain authorizations, diagnosis, and procedure detail as necessary
Explains necessary forms and obtains signatures from patient/guarantor
Contacts appropriate payers, verifying benefits and obtaining necessary authorizations
Explains insurance benefits and collects co-pays, deductibles and self-pay portions due
Collects for related professional care when appropriate
Documents authorization and benefit information in registration system
Assembles patient record and obtains copies of relevant documents including insurance cards, photo identification cards and any advance directives
Demonstrates a basic knowledge of third party reimbursement requirements and regulations
Exhibits competency in the use of all registration systems, electronic verification tools and Web based resources
Follows Patient Financial Services self-pay policies including completion of Guarantor Financial Statement Application, explanation of payment options and collections of monies due
Follows Patient Financial Services policies related to cash handling
Performs basic individual cashiering functions
Collects and inventories patient valuables following policy guidelines
Maintains basic understanding of the medical necessity screening process and appropriate systems
Performs appropriate pre-registration functions including calling physician offices, insurance payers and the patient/guarantor, as necessary
Maintains departmental logs for statistical reporting
Consistently meets Quality Assurance standards set by Patient Access and the department
Meets departmental goals regarding collections, productivity and customer service
Maintains flexibility in work schedule availability that allows department to change/modify work schedule to meet departmental needs
Meets federal, state and hospital requirements related to compliance issues
Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards
Maintains compliance with all Orlando Health policies and procedures
Attends and participates in department staff meetings and attends other meetings as assigned
Responsible for reviewing and adhering to all Patient Financial Services and departmental education initiatives
Meets all corporate and Patient Financial Services annual recertification and education requirements
Assists his/her manager in planning and organizing department activities

Qualification

Financial counseling experienceCustomer service skillsMicrosoft Office proficiencyTyping proficiencyPC/Windows experience

Required

High School or equivalent
Must complete Patient Financial Services Orientation program and annual educational requirements
Two (2) years' experience in a financial, business office, or customer service environment required
Proficient in Windows Microsoft Office-based products (Word, Excel, PowerPoint)
Typing proficiency
One (1) year PC/Windows experience

Benefits

FREE education programs
Well-being services

Company

Orlando Health

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Orlando Health is one of Florida's most comprehensive private, not-for-profit healthcare networks.

Funding

Current Stage
Late Stage

Leadership Team

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Mildred Beam
SVP, Chief Legal Strategist
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Mark Jones
Executive Vice President
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Company data provided by crunchbase