UF Health · 8 hours ago
Patient Access Financial Counselor | Admitting Department | Full time | Day Shift
Gainesville, FL
Full-time
Onsite
Entry, Mid Level
1+ years expUF Health is a leading healthcare provider, and they are seeking a Patient Access Financial Counselor to mitigate financial risk by conducting financial clearance reviews and analyzing patient benefits. The role involves managing transplant patient accounts, participating in interdisciplinary teams, and negotiating with third-party payers to ensure financial security for patients.
Health CareMedical
Responsibilities
Conducts thorough financial clearance reviews
Analyzes patient and payer benefits to determine patient liability and minimize financial risk to the organization
Manages high-dollar transplant patient accounts, including pre- and post-transplant episodes of care for both hospital and physician groups
Represents the Financial Services Division as an active member of transplant teams
Provides financial perspectives necessary for treatment decisions
Communicates directly with physicians, clinic support staff, and the Medical Review Board
Makes recommendations based on financial assessments
Negotiates payment approvals with third-party payers by analyzing individual plan benefits
Provides clinical information to medical and transplant case managers to secure pre-approvals for all episodes of treatment, including: Hospital-to-hospital transfers, Transplant evaluations, High-tech radiology, UNOS listing, Transplant surgery, Post-transplant follow-up care
Coordinates peer-to-peer reviews as needed
Determines patient ability to pay and negotiates deposits or payment plans
Calculates patient financial responsibility and provides cost estimates
Explores and coordinates alternative funding sources, including community fundraising and government programs
Conducts in-depth, face-to-face financial interviews to develop strategies for lifelong financial security
Reviews government programs and legislation affecting transplantation reimbursement; reports on impacts to the team
Supports maximum reimbursement efforts for both hospital and physician groups
Serves as a financial liaison between transplant clinics and patients/families throughout the transplant process
Participates in regulatory and operational meetings with the Financial Supervisor/Manager, Transplant Director, Transplant Managers, Managed Care, and other transplant department members
Qualification
Required
High school graduate or equivalent required
Minimum 1 year of experience as an Inpatient Financial Representative at a Transplant Facility, OR 3 years of experience as a Financial Representative in a hospital facility
Working knowledge of medical and insurance industry terminology is required
Proven ability to perform multiple tasks simultaneously and respond effectively to changing priorities
Ability to make timely and accurate judgment decisions
Strong communication skills, including exceptional verbal, written, and analytical abilities
Capacity to work independently without direct supervision
Proficiency with standard software applications and the ability to work with multiple computer systems
Must demonstrate adaptability, tact, and the ability to work well under pressure
Must understand the importance of a 'first impression' role and maintain appropriate professional dress, attitude, and demeanor
Preferred
College degree or related coursework preferred
CPAT certification preferred
Company
UF Health
University of Florida Health is a world-class academic health center in Florida, encompassing hospitals, physician practices, colleges, centers, institutes, programs and services across northeast and north-central Florida.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Robert Thornton
Senior Vice President and Chief Financial Officer
Lydia Hendrix BSN,CRRN,MS
Chief Operating Officer
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