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Scottish Rite for Children · 1 day ago

Patient Financial Counselor Frisco

Frisco, TX

Full-time

Onsite

Entry, Mid Level

2+ years exp

Scottish Rite for Children is dedicated to providing exceptional care to children. They are seeking a Patient Financial Counselor to manage patient accounts, assist with insurance inquiries, and ensure compliance with hospital policies and procedures.

ChildrenHealth CareHospitalMedical

Comp. & Benefits

Responsibilities

Accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include but not limited to pre-admission, admission, pre-registration and registration functions

Manage all incoming inquiries regarding charity care, insurance coverage benefits, billing disputes, prior authorizations, itemized statements, patient complaints, outpatient and surgical estimates, coordination of single case agreements, payment plans, and any other patient family request

Accurately process charity adjustments based on Crayon Care enrollment status; which includes identifying the greater discount between the Amount Generally Billed (AGB) and the charity discount

Responsible for adding pharmacy coverage into EMR

Mail Crayon Care applications to any patient family who is scheduled for an MRI, CT, surgery, admission, infusion, orthotics/prosthetics and any other department as seen fit

Screens self-pay patients for Medicaid eligibility and submits Medicaid and/or CHIP referrals on behalf of the patient

Accurately process Crayon Care applications based on hospital charity policy

Send appropriate correspondence letters to patient families (approvals and denials)

Add insurance coverage and update the billing system to reflect the insurance status of the patient

Serves as the Liaison between patient family and insurance verification team to ensure that prior authorizations are obtained based on insurance plan contracts and guidelines

Assist with insurance claim rejections/denials and remedy expediently

Calculate and post cash, credit, and check payments appropriately for all patients

Gather necessary documentation to support proper handling of inquiries and complaints

Assist with departmental coverage as requested

Engages in strong communication, acts as team player in supporting mission and vision of organization, and abides by organization core values

Qualification

Patient access experienceBillingCollectionsAnalytical skillsSpanish bilingualHigh school degreeBachelor's degree

Required

High school degree required

Two to five years' experience working in hospital patient access and/or billing, physician office billing and collections, or an equivalent combination of relevant education and/or experience

Preferred

Spanish bilingual speaking preferred

Bachelor's degree preferred

Strong analytical skills preferred

Company

Scottish Rite for Children

Scottish Rite for Children is a world-renowned leader in the treatment of pediatric orthopedic conditions with the focus of giving children back their childhood through expert care.

Founded in 1921

Dallas, Texas, USA

1001-5000 employees