Financial Counselor - Healthcare jobs in Mcallen, TX

POSITION SUMMARY :

This position is responsible for admitting activities which include collection of accounts receivable, and cashier duties, and visiting with patient and family for assistance.

POSITION EDUCATION/QUALIFICATIONS :

¨ High school diploma or GED required.

¨ Customer service skills

¨ Must be able to multi-task.

¨ Comprehensive knowledge of healthcare reimbursement.

¨ Good written and verbal communication skills required.

¨ Ability to read, write and speak English required

¨ Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians

¨ Prefer hospital experience

JOB KNOWLEDGE, SKILLS, AND EXPERIENCE :

¨ Communication – communicates clearly and concisely

¨ Customer orientation – establishes and maintains long-term customer relationships, building

¨ trust and respect by consistently meeting and exceeding expectations

¨ Interpersonal skills – able to work effectively with other employees, patients and external parties

¨ PC skills – demonstrates proficiency in Microsoft Office applications and others as required. Must be able to type at least 35 WPM.

¨ Document Imaging - demonstrates proficiency in document imaging.

¨ Policies & Procedures – demonstrates knowledge and understanding of organizational policies, procedures and systems.

¨ Basic skills – able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly and spell correctly.

¨ Medical Terminology

¨ ICD-9 Codes

¨ CPT Codes

¨ HCPCS

¨ Internet Usage- Third Party Payers billing Access.

POSITION RESPONSIBILITIES

¨ Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices

¨ Responsible for screening all private pay patients to determine if patient is eligible for prompt pay rates local, state, federal or charity:

¨ Meets with patients to inform them of financial responsibility or potential financial programs available.

o Prompt pay rate

o Payment reduce rates

o Financial programs available

¨ Contacts and interviews patients and completes the patient screening charity form to determine the financial status of patients.

¨ Assists patients in completing eligibility applications to include gathering and copying of necessary documents required for TDH or County applications.

¨ Schedules appointments with appropriate offices (i.e. TDHS and/or County etc.) and provides list of necessary documents needed for interviews.

¨ Performs maintenance on account, modifies I‑Plan accordingly upon reviewing status and transfers to appropriate work(i.e. pending, approval, denial).

¨ Follows up with TDHS workers, County to see if patients qualify for an assistance programs.

¨ Reviews and follows up accounts for status updates, (i.e. approval or denial) through worklists and/or ATB reports.

¨ Calls patients prior to appointment to remind them of scheduled appointments and/ or required documentation.

¨ Reschedules appointments if necessary.

¨ Will request claim and forward to biller for all approved accounts.

¨ Denied accounts; transfers accounts to appropriate F/C agency and/or processes accounts for charity with supporting documentation.

¨ Ensues that the established collection protocol is followed so that private pay accounts are routinely contacted by telephone or by written notice until the accounts are collected and/or referred to management for other collection means or disposition.

¨ Assists admitting or discharge personnel with collection of accounts that are not fully covered by third party payers.

¨ Ensures patients fully understand the need to pay balances when due on all current or delinquent accounts.

¨ Following department procedures to insure all collection activities are accurately followed on a current basis.

¨ Making various types of changes as indicated, i.e., name change, telephone, address, employee, etc.

¨ Preparing Charity accounts.

¨ Monitoring pending accounts.

¨ Obtaining accident details on patients involved in a motor vehicle accidents.

¨ Accurately maintaining records on all pending accounts for TPA’s for Charity assistance if a denial for assistance arises.

¨ Performs financial class changes and adjustment reversals on a timely basis

¨ Perform other duties as assigned.

LINES OF REPSONSIBILITES :

Financial Counselor Supervisor and Financial Counselor Manager