Financial Counselor - Self Pay Advocacy - Full-time with Benefits jobs in United States
cer-icon
Apply on Employer Site
company-logo

Frederick Health ยท 2 months ago

Financial Counselor - Self Pay Advocacy - Full-time with Benefits

Frederick Health is a healthcare provider dedicated to serving their community. They are seeking a Financial Counselor to assist patients with insurance benefits and financial assistance options, ensuring compliance with relevant regulations and supporting patients in managing their healthcare costs.

Clinical TrialsHealth CareHospitalWellness

Responsibilities

Project a positive and helpful demeanor while working with patients, visitors, and staff
Collect appropriate deposit, deductible and/or co-insurance amounts from patient/guarantor at pre-admit, admit, in house or at discharge
Complete insured and uninsured patient estimates upon request
Responsible for timely documentation of all pertinent information on the patient account
Evaluate guarantor financial status using credit reports, previous account information, eligibility tools, employment history, and all other income verification documentation, to determine the most feasible method of payment
Gather and assess financial data to help determine patient eligibility for Medicaid, SSI, charity and other financial assistance programs while working cohesively with associated vendors
Responsible for working daily inpatient uninsured lists timely, including but not limited to patient assistance screening
Responsible for evaluating, tracking, and adjusting all assigned patients for Charity
Handle walk-in and incoming customer service questions, including but not limited to charge explanation, relaying/explaining insurance activity, and setup of payment arrangements
Maintain compliance with state and federal regulations as they relate to Patient Financial Services
Manages accounts that have been referred to the early out vendor
Manages accounts needing to be transferred from the early out vendor to outside collections agencies
Passes and maintains certification for Market Place / CAC eligibility to be able to assist patients needing help applying for health care coverage
Manages accounts needing to be written off to bankruptcy
Functions as a liaison for the department to ensure open and effective communications between Case Managers and Patient Access
Processes patient correspondence, queries and disputes from our collection agencies

Qualification

Patient financial counselingMedicaid application assistanceFinancial data assessmentAccounting systems proficiencyMicrosoft ExcelMedical terminology knowledgeCommunication skillsTime managementOrganizational skills

Required

Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior
Under general direction of the Medicaid Advocacy and SelfPay Manager, this position is responsible for counseling patients regarding insurance benefits and recommend alternate sources of payments and financial assistance to uninsured/underinsured patients and families
Assist patients with applying for Medicaid coverage and private insurance applications through the Healthcare Marketplace
The Patient Financial Counselor assists in obtaining discounted care for under income candidates and helps them resolve any current outstanding debt on existing accounts
Project a positive and helpful demeanor while working with patients, visitors, and staff
Collect appropriate deposit, deductible and/or co-insurance amounts from patient/guarantor at pre-admit, admit, in house or at discharge
Complete insured and uninsured patient estimates upon request
Responsible for timely documentation of all pertinent information on the patient account
Evaluate guarantor financial status using credit reports, previous account information, eligibility tools, employment history, and all other income verification documentation, to determine the most feasible method of payment
Gather and assess financial data to help determine patient eligibility for Medicaid, SSI, charity and other financial assistance programs while working cohesively with associated vendors
Responsible for working daily inpatient uninsured lists timely, including but not limited to patient assistance screening
Responsible for evaluating, tracking, and adjusting all assigned patients for Charity
Handle walk-in and incoming customer service questions, including but not limited to charge explanation, relaying/explaining insurance activity, and setup of payment arrangements
Maintain compliance with state and federal regulations as they relate to Patient Financial Services
Manages accounts that have been referred to the early out vendor
Manages accounts needing to be transferred from the early out vendor to outside collections agencies
Passes and maintains certification for Market Place / CAC eligibility to be able to assist patients needing help applying for health care coverage
Manages accounts needing to be written off to bankruptcy
Functions as a liaison for the department to ensure open and effective communications between Case Managers and Patient Access
Processes patient correspondence, queries and disputes from our collection agencies
Computer skills, will be working in multiple accounting systems. Hospital, Physician and Home Health
Mathematical, organization skill and business correspondence skills
Basic knowledge in downloading/creating spreadsheets in Microsoft Excel
Proficient on 10 key, printers, telephone, copiers, and fax. Familiar with medical terminology and third party payer methodology. Demonstrates a thorough knowledge of Medical necessity and compliance laws
Excellent oral/written communication and professional skills in relating to patients and their families
Good understanding of other resources or programs available for patients and families
Thorough knowledge of payment policies, patient assistance policies, verification and billing processes
Must demonstrate ability to manage time, deadlines, multiple request and priorities, maintain productivity and exercise good judgment with minimal supervision
High school diploma or GED required

Preferred

Some college coursework preferred (Business/Health Sciences)
A minimum of one year hospital/physician billing/follow-up experience is preferred

Benefits

Health, Dental and Vision insurance
Life insurance
Short-Term Income Replacement
Long-Term Disability
Paid Time Off
403B retirement plan
Free financial planning sessions
Educational assistance program
Employee Assistance Program

Company

Frederick Health

twittertwittertwitter
company-logo
Frederick Health operates with a mission to provide quality healthcare services for orthopedics, dermatology, urology and gastroenterology.

Funding

Current Stage
Late Stage

Leadership Team

leader-logo
Michelle Mahan
Sr VP Finance / CFO
linkedin
leader-logo
Jackie Rice
VP CIO
linkedin
Company data provided by crunchbase