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FINANCIAL COUNSELOR

Company: Covenant HealthCare
Location: Saginaw
Posted on: September 7, 2019

Job Description:

Description



COVENANT HEALTHCARE

US:MI:SAGINAW

8:00 AM - 4:30 PM, MONDAY - FRIDAY

FULL TIME BENEFITED



Summary:
The Financial Counselor is responsible for obtaining insurance benefit verification and appropriate referrals for patients receiving treatment at Covenant. They interface with multiple customers and families as well as multiple insurance carriers, adjustors, and hospital departments. Position ensures the front-end cash obligations prior to the date of service, with appropriate financial arrangements made according to the hospital s policy. Strong communication skills and ability to make sound financial arrangements for collection required. Must be able to work well with the public and able to be tactful in often hectic, stressful situations. Maintains patient confidentiality. Maintains a positive public image to patients, families, the hospital, and medical staff. Mentors the Registration Associates on insurance verification. Works closely with the Agency contracted to help patients apply for Medicaid.

Demonstrates excellent customer service performance in that his/her attitude are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant and the commitment to providing Extraordinary Care for Every Generation.



Responsibilities:
Obtains accurate insurance benefits to ensure the patient doesn t receive a bill unnecessarily by exploring all options.
Maintain confidentiality in relation to patients/families and the organization.
Performs other position appropriate duties as required in a competent, professional and courteous manner.
Informs patient of projected cost of services and payment requirements.
Prepares estimates of procedures, calculates advance payment requirements, and informs patient of acceptable payment arrangements on balance, both current and previous.
Identifies patients who qualify for financial assistance. Obtains application for assistance.
Visits patients on the nursing units as needed. Obtains complete demographic and financial information in order to screen patient to identify payment capability.
Assures accurate and timely response to patient financial inquiries.
Explains and answers patient billing inquiries in easy to understand manner; interprets data to resolve accounts.
Explains alternative medical financing; assist in completion of applications and contracts in order to meet patient needs while assuring maximum reimbursement.
Interviews patients for more accurate financial information whenever necessary and advises patient and/or their representative of insurance benefits.
Exercises good judgment in the screening of patient for payor status to set expectations for reimbursement of services.
Work as a resource to all units, departments, and team members to positively impact patient care, customer satisfaction and financial reimbursement.
Explains hospital pricing and pre-existing conditions to patients and/or patient representatives.
Assists the patients with the Medicaid application as needed and refer to the Family Independence worker as needed.
Ability to approach patients for collection of unpaid balances prior to an elective admission. Postpones admissions if possible until payments are made.
Works cooperatively with the Central Business Office/Patient Accounting on claims.
Work as a resource to all units, departments, and team members to positively impact patient care, customer satisfaction and financial reimbursement.
Assist Registration Associates regarding insurance verification issues. Continually assist Associates as necessary promoting consistency and accuracy of data.
Responsible for keeping updated on all insurance changes by attending seminars, reading bulletins, networking with insurance case managers and their offices.
Other duties as assigned.



Other information:
KNOWLEDGE/SKILLS/ABILITIES/EXPERIENCE
Knowledge of Federal, State, and Local government regulations as related to Patient Access and billing requirements. Including, but not limited to, EMTALA, COBRA, HIPAA, Medicare Important Message, Red Flag rules, Advanced Beneficiary Notice, Medicare Secondary Payer, No Fault Laws, and Workers Compensation rules.
Knowledge of standard office equipment.
Computer knowledge; including Mircosoft Word, Excel, EPIC
The ability to work accurately in a fast-paced changing work environment. Current computer experience required. Computer skills: Keyboard skills (typing) to be 30wpm. Microsoft Windows product - Word; Excel. Knowledge of medical and insurance terminology. Preferred: Knowledge of Epic software; experience with hospital/facility billing and/or physician/professional billing; collection experience. Good communications skills.
Ability to work independently in all facets of registration, verification, collection and authorization with effective problem identification and resolution skills.

EDUCATION/EXPERIENCE
Successful completion of medical terminology.
Post High School: Medical Billing/Medical Assistant Program (e.g., Ross Medical). Preferred: Graduate of Admitting Clerk/Medical Assistant program
Proficient in Epic ADT, Resolute HB (hospital billing) and Resolute PB (professional billing) (proficient on software within six months)
Collection experience preferred.

PHYSICAL LEVEL I









NOTICE REGARDING LATEX SENSITIVITY IN APPLICANTS FOR EMPLOYMENT.



IT HAS BEEN DETERMINED THAT COVENANT HEALTHCARE CANNOT PROVIDE A LATEX SAFE OR LATEX FREE WORK ENVIRONMENT AT ANY OF ITS FACILITIES. UNFORTUNATELY, THAT MEANS THAT ANY INDIVIDUAL, INCLUDING AN APPLICANT OR AN EMPLOYEE, IS LIKELY TO BE EXPOSED TO LATEX WHILE ON COVENANT S PREMISES. THEREFORE, LATEX TOLERANCE IS CONSIDERED TO BE AN ESSENTIAL FUNCTION FOR ANY POSITION WITH COVENANT.

Covenant HealthCare is an equal opportunity employer.

Keywords: Covenant HealthCare, Saginaw , FINANCIAL COUNSELOR, Accounting, Auditing , Saginaw, Michigan

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