Financial Counselor

jeffersonhealth; Philadelphia (Philadelphia County); On-site; USD 42,000 - 65,000; Full time

Job summary

Albert Einstein Medical Center seeks a Financial Counselor to support patient financial services, including MA applications and payment arrangements. You will verify benefits, collect payments, and assist in navigating payer requirements.

You will collaborate with case management and social workers to ensure timely approvals, and maintain accurate records within registration and cashiering systems. Strong customer service and communication skills are essential.

Qualifications

• High School diploma or equivalent required.
• Two years' experience in a financial, business office, or customer service environment.
• One year hospital business office experience preferred.
• Demonstrated computer skills including Word and Excel.
• Working knowledge of ICD9 coding and medical terminology.
• Able to work with minimal supervision and remain organized.

Responsibilities

• Gathers and inputs patient/guarantor demographic and financial information accurately.
• Explains forms and obtains signatures from patient/guarantor.
• Contacts payers to verify benefits and obtain authorizations; documents in system.
• Assist with MA applications and communicate with case management as needed.
• Explain insurance benefits and collect co-pays, deductibles, and self-pay balances.
• Follow注册 departmental policies for self-pay and cash handling.

Skills

Customer service

Communication

Problem solving

Education

High School diploma

Tools

Microsoft Word

Microsoft Excel

Job description

Job Details

Financial Counselor

Job Description

Primary Function:

• Understands the importance Einstein Healthcare Network places on providing exemplary customer service and performs job functions in a manner that helps meet the department customer service goals.
• Identifies customer service issues and resolves or initiates necessary follow-up.
• Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information. Explains necessary forms and obtains signatures from patient/guarantor.
• Utilizes appropriate reports to contact insurance payers, verifying benefits and obtaining necessary authorizations. Documents authorization and benefit information in registration system. Work with payors to resolve accounts that are pending or denied.
• Screens patient/guarantor for federal, state, county or other assistance programs and completes necessary forms and applications per facility guidelines.
• Explains insurance benefits and collects current and outstanding co-pays, deductibles and self-pay portions due or establishes payment arrangements for these balances as appropriate.
• Maintains a working knowledge of third-party reimbursement requirements and regulations.
• Exhibits working knowledge in the use of all registration and scheduling systems, electronic verification tools and Web based resources.
• Follows Patient Financial Services self-pay policies including self-pay fee schedules, completion of Medical Assistance and Charity Care Application, explanation of payment options and collections of monies due.
• Follows Patient Financial Services policies related to cash handling and performs department cashiering functions and point of service transactions.
• Maintains understanding of the medical necessity screening process and appropriate systems and a working knowledge of ICD-10 and CPT codes.
• Performs appropriate pre-registration functions including calling physician offices, insurance payers and the patient/guarantor, as necessary.
• Cross-trained with appropriate knowledge and skills necessary to staff multiple areas within department, including but not limited to Diagnostic/Interventional, Admissions, Cashier, Pre-Registration, Scheduling and Emergency Department.
• Participates in training of new team members.
• Work closely with Nursing, Ancillary, Scheduling, Case Management, Social Workers, Managed Care Companies, Physicians, Administration and Patient Accounting.
• Maintains departmental logs for statistical reporting. Works departmental reports as assigned.
• Consistently meets Quality Assurance standards set by Patient Financial Services department.
• Meets departmental goals regarding collections, productivity and customer service.
• Participates in internal department committees.
• Assists his/her manager in planning and organizing department activities.

The Financial Counselor/MA Specialist interviews in‑house patients referred for Medical Assistance applications. Obtains various paperwork from patients and other hospital departments that are necessary to secure applications according to MA regulations. Work with County Assistance office and referral agencies to obtain Medical Assistance approvals. Process and perform system maintenance pertaining to PA 162 forms. Work with Case Management to insure MA 87s are processed according to MA regulations. Provide support for MA biller.

Education/Training/Experience

• High School diploma or equivalent
• Two (2) years' experience in a financial, business office, or customer service environment required.
• One year hospital business office experience required
• Demonstrated computer skills (including Microsoft Word and Excel).
• Working Knowledge of ICD9 coding and medical terminology.
• Able to work with minimal supervision.
• Well organized, self motivated individual with a positive attitude.
• Excellent customer service skills.
• Ability to work effectively with all payor and hospital personnel

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Albert Einstein Medical Center Primary Location Address 5501 Old York Road, Philadelphia, Pennsylvania, United States of America

About Jefferson

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 coll