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Trinity Health · 20 hours ago

REMOTE: Specialty Financial Counselor Central Ia

United States

Full-time

Remote

Entry, Mid Level

2+ years exp

Trinity Health is a healthcare organization seeking a Specialty Financial Counselor. The role involves serving as a financial advocate for patients, determining liability on patient accounts, and providing financial assistance or securing payment while collaborating with various stakeholders to enhance program efficiency and patient experience.

DeliveryHealth Care

Responsibilities

Researches, collects & analyzes information

Identifies opportunities, develops solutions, & leads through resolution

Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience

Responsible for distribution of analytical reports

Utilizes multiple system applications to perform analysis, create reports & develop educational materials

Incorporates basic knowledge of TH policies, practices & processes to ensure quality, confidentiality, & safety are prioritized

Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge

Research & compiles information to support ad-hoc operational projects & initiatives

Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making

Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts

Maintains a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects safe, honest, ethical & professional behavior & safe work practices

Provides patient counseling regarding treatment costs, insurance coverage, available payment resources, and financial assistance options

Secures and documents payment arrangements

Submits authorization for initial and subsequent high-cost infusion and oncology services based on complex treatment plans

Coordinates with the patient, physician, insurance company, and pharmaceutical company to complete the required pre-authorization process

Validates payable diagnosis codes/medical necessity and prior therapy requirements according to FDA and NCCN guidelines

Assists patients in financing, payment plans, financial assistance and all financial options through the organization

Monitors assigned patient accounts through entire revenue cycle to ensure copay program claims, payments, denials, and other assistance programs are being processed properly

Assists with ordering, tracking, and reporting of all free drugs obtained

Collaborates with the treatment team on the financial implications of medical intervention to the patient and the health care provider

Responsible for case management of complex financial clearance needs for patients and elevates cases as appropriate

Works closely with RSO and division leadership to improve collections

Qualification

Patient Access experiencePatient Accounting experienceFinancial counselingHFMA CRCR certificationBillingCoding knowledgeAnalytical skillsCollaboration skillsCommunication skills

Required

High school diploma or GED

Minimum two (2) to three (3) years experience working in Patient Access or Patient Accounting for hospital registration and / or hospital reimbursement services

Obtain National certification in HFMA CRCR and/or NAHAM CHAA required within one (1) year of hire

Understanding of basic billing and coding

Preferred

Bachelor's degree or advanced certification or a combination of advanced training and/or certification (e.g., Registered Nurse, Licensed Practical Nurse, Certified Pharmacy Technician, Registered Health Information Technician, or medical coding certification through AHIMA or AAPC

Epic experience preferred

Knowledge of federal or state government agencies including but not limited to Medicare, Medicaid, VA or Charity Care programs, or patient management and healthcare accounts receivable within the healthcare revenue cycle