Financial Counselor

Down East Community Hospital; Northern (KY); Hybrid; USD 36,000 - 52,000; Full time

Job summary

Down East Community Hospital is seeking a dedicated individual to manage the self-pay component of accounts receivable. You will collect amounts due, set up payment arrangements, and refer cases to the hospital's payment administrator as appropriate.

Responsibilities include processing free care and reduced care applications, contacting patients within 10 days of discharge, and ensuring proper insurance information is captured for timely billing. Knowledge of related regulations is a plus.

Qualifications

• Minimum high school diploma or college degree, or 3 years of relevant work experience.
• Familiarity with statutes and regulations related to account collections.
• Information technology experience is helpful.

Responsibilities

• Manage the self-pay component of Accounts Receivable (AR).
• Collect money owed and arrange payments as needed.
• Refer patients to the hospital payment administrator when appropriate.
• Assist with processing of free care and reduced care applications.
• Contact private pay patients within 10 days of discharge.
• Enter insurance information and refer accounts to PFS for billing.
• Arrange payment plans and identify collectible amounts per policy.
• Identify and communicate special circumstances affecting delayed payments.
• Maintain aging of self-pay accounts and resolve accounts under 90 days old.
• Recommend disposition of delinquent accounts (collections, write-offs, etc.).
• Stay informed of regulations affecting collections (No Surprises Act, etc.).
• Refer patients seeking payment plans to Carepayment and coordinate with Carepayment.

Skills

Communication skills

Organizational management

Independent work

Regulatory knowledge

Education

High school diploma

College degree

Tools

Microsoft Office

Job description

Description

JOB SUMMARY AND SCOPE:

To manage self-pay component of Accounts Receivable (AR) by collecting money owed and making payment arrangements as applicable.

ESSENTIAL JOB FUNCTIONS:

• Administer Point of Service Collections as defined by policy
• Refer patients to hospital designated payment administrator as appropriate
• Assists with the processing of free care and reduced care applications
• Collects monies owed from patients or obtains appropriate insurance information to ensure timely recovery of the outstanding accounts receivable.
• Contacts all private pay patients within 10 days of discharge.
• Enters appropriate insurance information if obtained and refers account to PFS department for billing.
• Responsible for arranging payment of all moneys due for services rendered under the direction of the Lead Financial Counselor, including setting up payment arrangements (in accordance with established policies) and qualifying patients for federal, state, or local benefits.
• Researches, identifies, and communicates any special circumstances affecting delayed payment of accounts to PFS follow-up staff for correction.
• Maintains self-pay account aging with an emphasis on resolution of accounts less than 90 days old.
• Responsible for identification and calculation of collectible amounts as identified by policy
• Identifies delinquent accounts, including accounts with payment arrangements, and makes recommendations for their disposition (i.e., referral to collection agencies, write-off, etc.)
• Continues to stay informed of any statutes and regulations that could affect collection of receivables (i.e. collection regulations, etc.)
• Identifies and provides estimates to patients as required by law per the “No Surprises Act”
• Identifies and refers patients requesting payment arrangements to Carepayment and communicates to Carepayment on a regular basis.
• Maintains a list of appropriate contacts and contact information.
• Performs other duties as assigned and overtime as requested and/or required.

*DECH is an equal opportunity employer.

Requirements

MINIMUM REQUIREMENTS:

• High school graduate, college degree, or 3 years appropriate work experience that would indicate a high level of communication skills and organizational management ability.
• Familiarity with statutes and regulations regarding the collection of accounts.
• Information technology experience is helpful.
• Ability to work independently.