Financial Counselor - Healthcare jobs in Providence, RI
Financial Counselor - Healthcare develops and facilitates payment plans for patients to finance medical expenses by coordinating between insurer, third party payer and patient. Confirms level, terms of coverage, and benefit limits with health insurance providers. Being a Financial Counselor - Healthcare advises patients of any alternative sources of funding or assistance available from social service agencies. Prepares and files any documentation needed to complete payment arrangements. Additionally, Financial Counselor - Healthcare may arrange for referrals or second opinions. Has general knowledge of insurance terms and practices. Requires a high school diploma. Typically reports to a supervisor or manager. The Financial Counselor - Healthcare works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Financial Counselor - Healthcare typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Recently Added Financial Counselor - Healthcare jobs
Financial Counselor
- The Miriam Hospital
-
Providence, RI
PART_TIME
-
Summary:
Under the general supervision of the Manager Patient Registration the Financial Counselor functions as a liaison between the hospital and patients to facilitate the solution of patient financial issues concerning outpatient and inpatient pre-admission pre-registration pre-scheduled scheduled inpatient/observation direct and emergent admissions.
Responsibilities:
Pre-admits/registers scheduled outpatients and inpatients in hospital system.
Contacts insured patients to verify demographics obtained at the time of scheduling to complete any missing information.
Verifies patient insurance coverage (both primary and secondary) online or by telephone.
Obtains and verifies coverage authorizations for scheduled and unscheduled patients to include all sources such as Workers Compensation Medicare Secondary Payer (MSP) Medicare liability liens etc.
Ensures referrals are obtained and confirms accuracy of the Primary Care Physician (PCP).
Establishes level of insurance benefits and expected payment for selected services. Determines the patients portion of payment when applicable and arranges for payment prior to the provision of services.
Upon arrival or admission or in the patients room completes any missing documentation required from patients and/or family members.
Checks outstanding balances incurred for previous services prior to contacting patient and follows collection policy concerning prepayment prior to the provision of additional services.
Monitors in-house accounts for open patient balances resulting from co-payments and deductibles. Tracks Medicare Days and Lifetime Reserve Days when applicable.
Authorizes occupancy and collects payments for Private Room Differentials. Reviews bed transfer list daily to ensure the authorization and collection of all appropriate private room transfers.
When appropriate medical necessity verifications for services to be provided will be performed by the servicing department and will also require that Advance Beneficiary Notices (ABNs) be addressed for payment at the time of admission/arrival.
Refers insured patients who cannot meet their financial obligations including previously incurred hospital balances current admission/outpatient expected non-covered charges and ABNs to Patient Advocates according to department policy.
Updates status of financial clearance activities in hospital system.
Prepares/assembles all necessary paperwork prior to the patients arrival.
Reviews/corrects third party payer eligibility reports.
Completes real time status transfers.
Performs other duties as required to support the operations of the department.
May be required as needed to provide coverage at numerous locations (hospital-based): Admitting ED and Outpatient areas as well as off-site registration areas and Business Office.
Attends and participates in staff meetings.
Other information:
BASIC KNOWLEDGE:
A level of knowledge generally obtained through completion of High School.
Knowledge of medical terminology third party insurance information and standard computer applications required. Good verbal and written communication skills.
Computer skills that permit and facilitate the performance of work responsibilities.
Demonstrated knowledge and skills necessary to provide care patients with consideration of aging processes human development stages and cultural patterns in each step of the care process.
EXPERIENCE:
Two years in a hospital environment with previous experience in third party payer verification and authorization process requirements and an understanding of payer contracts. Training in HIPAA rules and regulations.
WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:
Office environment with some exposure to the normal patient care environment as some patient interviews are conducted with patient and family members on the nursing units. Sitting for long periods of time at a workstation requiring continuous use of a computer and telephone.
INDEPENDENT ACTION:
Performs independently within the departments policies and practices. Refers specific complex problems to the supervisor when clarification of departmental policies and procedures are required.
SUPERVISORY RESPONSIBILITY:
None.
Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.
Location: The Miriam Hospital USA: RI: Providence
Work Type: Part Time
Shift: Shift 1
Union: Non-Union - 1 Month Ago
Substance Use Disorder Counselor
- GreenTree Healthcare Management
-
Providence, RI
FULL_TIME
- Berkshire Place Nursing is actively seeking an SUD Counselor (Substance Use Disorder) for our Skilled Nursing facility in Providence, RI. We offer the following benefits so you can excel at work and i...
- 1 Day Ago
EAP Licensed Behavioral Health Counselor
- Essential Healthcare Solutions LLC
-
North, RI
CONTRACTOR
- EAP Licensed Behavioral Health Counselors for the following zip codes in Rhode Island: 02852, 02841-1629 Essential HealthCare Solutions LLC is responding to a contract opportunity. We are seeking beha...
- 1 Month Ago
Counselor
- Behavioral Health Group
-
Providence, RI
OTHER
- Counselor Work for BHG and we'll take care of you so that you can take care of your patients. What sets BHG apart: Manageable number of patients per counselor Typically weekdays only, with consistent ...
- 1 Month Ago
Registered Nurse / Home Healthcare
- Cross Country Healthcare
-
Warwick, RI
FULL_TIME
- Job DescriptionAs a home health nurse (RN HH), you will deliver healthcare in patients' residences, helping them maintain their independence. You will provide one-on-one care for patients in their hom...
- 8 Days Ago
Registered Nurse / Home Healthcare
- Cross Country Healthcare
-
East Providence, RI
FULL_TIME
- Job DescriptionAs a home health nurse (RN HH), you will deliver healthcare in patients' residences, helping them maintain their independence. You will provide one-on-one care for patients in their hom...
- 1 Month Ago
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0 Financial Counselor - Healthcare jobs found in Providence, RI area
About Providence, Rhode Island
The Providence city limits enclose a small geographical region with a total area of 20.5 square miles (53 km2); 18.5 square miles (48 km2) of it is land and the remaining 2.1 square miles (5.4 km2) is water (roughly 10%). Providence is located at the head of Narragansett Bay, with the Providence River running into the bay through the center of the city, formed by the confluence of the Moshassuck and Woonasquatucket Rivers. The Waterplace Park amphitheater and riverwalks line the river's banks through downtown.
Providence is one of many cities claimed to be founded on seven hills like Rome. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Financial Counselor - Healthcare jobs
$40,800 to $50,966
Providence, Rhode Island area prices
were up 1.6% from a year ago
were up 1.6% from a year ago
What does a Financial Counselor - Healthcare do?
Financial Counselor - Healthcare in Medford, OR
When you get the chance to familiarize yourself with the healthcare job description of financial counselors, you will learn that they are working professionals that go over insurances and the cost of procedures before admitting patients to the hospital.
December 07, 2019
Financial Counselor - Healthcare in Cedar Rapids, IA
If payments are rendered in cash, financial counselors also work in collecting payments and updating the bill records of patients.
January 10, 2020
Financial Counselor - Healthcare in Vincennes, IN
However, there are instances that financial counselors work at night or even during weekends.
December 03, 2019