Family Financial Svc Counselor

Phoenix Children's Hospital, Inc.; Phoenix (AZ); On-site; USD 42,000 - 64,000; Full time

Job summary

Phoenix Children\'s Hospital, Inc. is seeking a Family Financial Services Counselor to help families understand insurance benefits, determine payment options, and navigate financial assistance programs.

This role works with the care team to ensure families have a clear view of liability, coverage, and available payment plans. The counselor will assist uninsured or underinsured patients in obtaining government or commercial coverage and will coordinate with payers, departments, and vendors to

Qualifications

• High School Diploma or GED required.
• Associate's Degree in Business or a related field preferred.
• Experience with HIPAA Privacy Act.
• Experience with HMOs and other third-party payers within and outside the United States.
• Experience with related Federal and State programs available to the uninsured.
• Two (2) or more years of experience in a healthcare revenue cycle environment.

Responsibilities

• Educate families on insurance benefits and out-of-pocket amounts.
• Assist uninsured/underinsured families in obtaining government or commercial coverage.
• Explain liability, coverage and payment options with the care team to ensure understanding.
• Provide patient estimates prior to service.
• Document activities and interactions in patient accounts.
• Process and manage financial assistance packets for review and approval.
• Track all financial assistance applications in a central repository.
• Collaborate with departments, payers, and vendors on behalf of the patient.
• Maintain knowledge of Federal Marketplace, Medicare, AHCCCS, and third-party payer rules.
• Provide feedback to management and assist with problem resolution.
• Perform miscellaneous duties as requested.

Education

High School Diploma or GED

Associate's Degree in Business or a related field

Job description

This position works with patient families to educate them on applicable insurance benefits and payment options for out of pocket amounts due. For uninsured and underinsured patients, the Family Financial Services Counselor works with the family to assist them in obtaining 3rd party covered through government and/or commercial plans and also walks them through the Phoenix Children\'s financial assistance application process. This position provides a customer service friendly approach that is coordinated with the patient\'s care team in order to ensure that the family has a full understanding of liability, coverage and coverage options, and payment options.

Position Duties

• Meets with insured patient\'s parent/guardian to:
  Explain relevant benefits and applicable out of pocket amounts based on data obtained through various electronic tools and in payer websites.
  Determine family\'s ability to pay.
  Review existing balances with families.
  Develop a comprehensive plan to cover out of pocket amounts which may include one or more of the following:
  -Prompt pay discounts
  -Secondary coverage
  -Payment plans
  -Financial assistance/sliding scale discount
  -Other options
  Assist with the resolution of billing inquiries by facilitating process with customer service.
  
• Meets with self-pay patient\'s parent/guardian to:
  Assess options for coverage payment which may include one or more of the following:
  -Prompt pay discounts
  -Commercial coverage
  -Government coverage
  -Financial Assistance/sliding scale discount
• Provide patient estimates prior to service to assist patients in determining cost of services and options for payment.
  
• Provide accurate and timely documentation for patient\'s accounts explaining activities and interactions with family members, staff, and outside sources on behalf of the patient.
  
• Provide complete and orderly financial assistance packets to management for review and approval.
  
• Tracks all financial assistance applications in central repository.
  
• Works collaboratively with PC/PCMG departments, payers, and vendors on behalf of the patient.
  
• Maintains a general understanding of the Federal Marketplace, Medicare, Managed Care, AHCCCS, and other third party payer rules, authorization and billing requirements.
  
• Provides feedback to management regarding work related problems and assists with resolution to provide excellent customer service.
  
• Performs miscellaneous job related duties as requested.
  

Phoenix Children\'s Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children\'s will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable

Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.

Education

Do you meet this requirement or have the ability to obtain it
within the timeframe listed in the requirement? 1. High School Diploma or GED
Required Yes No 2. Associate\'s Degree in Business or a related field
Preferred Yes No

Experience

Do you meet this requirement or have the ability to obtain it
within the timeframe listed in the requirement? 1. Experience with full disclosure laws, credit analysis and the fair debt collection practices act
Preferred Yes No 2. Experience with HIPAA Privacy Act.
Required Yes No 3. Experience with HMOs and other third-party payers within and outside the United States.
Required Yes No 4. Experience with related Federal and State programs available to the uninsured.
Required Yes No 5. Two (2) or more years of experience in a healthcare revenue cycle environment
Required Yes No

Physical Requirements & Occupational Exposure/Risk Potential

1. Physical Requirement - Climbing -occasionally 2. Physical Requirement - Feeling (sensing textures and temperatures) -occasionally 3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) -occasionally 4. Physical Requirement - Hearing -frequently 5. Physical Requirement - Pushing/pulling -occasionally 6. Physical Requirement - Reaching -occasionally 7. Physical Requirement - Sitting -frequently 8. Physical Requirement - Standing -occasionally 9. Physical Requirement - Stooping/crouching/kneeling/crawling -occasionally 10. Physical Requirement - Talking -frequently 11. Physical Requirement - Tasting/smelling -occasionally 12. Physical Requirement - Walking -frequently 13. Physical Requirement - Near Vision -occasionally 14. Physical Requirement - Far Vision -occasionally 15. Physical Requirement - Color Discrimination -frequently 16. Physical Requirement - Use of keyboard, mouse and/or computer equipment -constantly 17. Physical Requirement - Lift up to 35 pounds without assistance -occasionally 18. Physical Requirement - Lift more than 35 pounds without assistance -occasionally 19. Occupational Exposure/Risk Potential - Inside office environment -applicable 20. Occupational Exposure/Risk Potential - Confined areas -applicable I have reviewed the qualifications, physical requirementsand occupational exposure/risk potential for this position and wish to apply I Agree