Apply on Employer Site

Wellstar Health System · 1 day ago

PAS Financial Counselor

Douglasville, GA

Full-time

Onsite

Entry, Mid Level

2+ years exp

Wellstar Health System is committed to enhancing the health and well-being of every person they serve. The PAS Financial Counselor III plays a crucial role in managing financial matters related to patient accounts, ensuring proper collection of payments, verifying insurance benefits, and providing customer support throughout the patient experience.

FitnessHealth Care

Responsibilities

Reviews daily census and visits hospital patients when appropriate, verifies patient coverage, benefits, and collects estimated patient liable amounts

Interviews each patient or representatives to obtain complete and accurate demographic, financial and insurance information

Obtains all necessary signatures and is knowledgeable regarding any special forms that may be required by the patients third party payer

View charges to determine financial estimates and collects appropriate co-pays/ and or deductibles

Makes corrections and updates patient account information in computer

Documents thorough explanatory notes on patient accounts, concerning any non-routine circumstances, clarifying special billing processes

Maintains a working knowledge of available information system capabilities and performs all system applications that are required

Understands and applies WHS philosophy and objectives, and PAS policies and procedures, as related to assigned duties

Understands the admission, outpatient and emergency registration process

Maintains confidentiality of patient information, in accordance with WHS policy and HIPPA regulations

Consistently demonstrates the ability to organize work recognizes and establishes appropriate work priorities, and completes work in a productive manner, without creating backlogs

Maintains proficiency in data entry skills

Assists with Medicaid screening on all accounts

Attempts to collect the estimated self-pay balance of all inpatient, outpatient and ER accounts, at the earliest possible collection control point

Monitors in-house accounts and attempts to make financial arrangements with guarantors for payment of their self-pay balances in full, prior to discharge, or within ten working days thereafter

Communicates with Medicaid Eligibility team and applicable vendor(s) to determine eligibility and approval/ denial status, as needed

Completes financial evaluation forms to document guarantors' income, expenses, assets and liabilities

Identifies those patients without adequate insurance coverage

Makes personal contact with patient or guarantor to determine guarantor's ability to pay non-covered charges, as well as to determine potential eligibility for financial assistance programs (namely Medicaid)

Maintains a list of health care financial assistance programs and the eligibility requirements for each program

Refers patients/guarantors to sources of outside funding assistance, distributes financial assistance (i.e. Medicaid) applications as need

Works efficiently and accurately within designated time frames to ensure a continuity of information and cash flow

Interviews all inpatients and select (self-pay) outpatients at time of registration, or at least within 24 hours of admission, to verify complete insurance and financial information, explain financial policies, and collect the estimated self-pay balance

Documents concise and understandable notes regarding all self-pay account collection activity, as well as each patient or guarantor interaction

Documents all efforts to collect patient account balances, other self-pay collection activities and referrals to Medicaid

Coordinates financial counseling activities with Admitting, Outpatient Registration, Emergency Registration, Utilization Review, Nursing, Social Services, and Patient Financial Services

Verifies insurance coverage and benefits

Exceeds monthly quota on a consistent basis

Formally reports results of self-pay collection activity to direct supervisor, on a daily basis or according to policy

Provides feedback to PAS management concerning self-pay collection and data integrity issues

Responsible for completion of appropriate error/issues in WorkQueues

Greets all guest with a positive and professional attitude

Answers incoming phone calls and follows through with requests made

Maintains courteous and cooperative working relationships with WHS management, patients, physicians, other professional contacts, and the general public

Demonstrates ability to tactfully handle difficult situations

Presents a well-groomed and professional image in coordination with dept/ hospital dress codes

Provides appropriate telephone etiquette and scripting

Must be flexible with work hours to meet department needs

Meets service recovery and customer service guidelines

Keep current & convey knowledge of various insurance plans to customers as needed

Works well with Staff and understands appropriate department process

Identify & Request additional info as needed to complete authorization requests

Observes work hours and provides proper notice of absences, tardies work schedule changes

Cross-trained in all areas of registration

Attends select departmental meetings at the request of WHS Management

Completes annual mandatory training as required

Maintain several Login IDs & expertise in various insurance pre-certification and authorization processes

Performs other duties as assigned

Qualification

CHAA certificationCPAR certificationCRCR certificationEpic experienceHealthcare experiencePatient registration systemsMicrosoft Office SuiteData entry competencyCash handlingMedical terminology knowledgeEOBsEffective communicationAttention to detailProblem solving

Required

High School Diploma General or GED General

CHAA - Cert Healthcare Access Assoc or CPAR - Certified Patient Account Rep or CRCR - Certified Revenue Cycle Rep or CRCR-P - Certified Revenue Cycle Rep - Provisional (90 Days) within 120 Days

Minimum 1 year healthcare experience in Patient Access Services, Practice Operations, or Patient Financial Services. Bachelors degree or higher may substitute for experience

Required Minimum 2 years related experience in a healthcare setting. At least one year in a healthcare setting performing financial counseling or functions consistent with preservice operations including healthcare collections

Effective communication skills (both written and verbal) with the ability to communicate with various members of the healthcare team

High attention to detail self-directed and a positive attitude are essential

Effective problem solving and critical thinking skills

Typing or data entry competency of at least 40 words/minute

Cash handling and balancing

Demonstrated professionalism

Working knowledge of patient registration systems and intermediate Microsoft Office Suite are preferred

Mandatory completion of: Patient Access Services (PAS) Operations Onboarding Training followed by a minimum passing score of on final exam within 45 days of hire