Financial Counselor

Westchester Medical Center Health Network; Town of Mount Pleasant (NY); On-site; USD 42,000 - 65,000; Full time

Job summary

WMCHealth in Mount Pleasant, NY seeks a Patient Eligibility Specialist to evaluate government program eligibility for uninsured/underinsured patients. You will support patient registration and insurance verification in a fast-paced hospital setting.

Responsibilities include greeting patients, reviewing admissions for program eligibility, collecting payments, coordinating benefits, and maintaining complete documentation while upholding HIPAA compliance.

Qualifications

• High School Diploma or GED is required; Associate’s degree preferred.
• Experience in revenue cycle role in hospital setting preferred.
• Knowledge of medical terminology and HIPAA compliance.

Responsibilities

• Greet patients and families in a positive, cheerful manner and reflect our organization values.
• Review daily IP, ER, Surgery and OP admissions to determine eligibility for government programs.
• Clear patients at ER, hospital bedside, or OP registration area to obtain cash payments and determine eligibility.
• Conduct interviews with patients and/or family members, record and maintain complete documentation of accounts.
• Assist with coordination of benefits, eligibility issues, and insurance forms/applications.
• Notify case management and staff of determinations; collect cash payments as appropriate; assist with data for reporting.

Skills

Customer service

Communication

De-escalation

Attention to detail

Interpersonal skills

Education

High School Diploma or GED

Associate degree preferred

Job description

Job Summary:

Responsible for evaluating patient eligibility for various governmental programs for the un-insured/under-insured population. Must possess a keen understanding of patient registration and insurance verification.

Responsibilities:

• Greet patients and families in a positive, cheerful manner, promote our organization mission, vision and values.
• Review daily IP, ER, Surgery and OP private pay admissions to determine eligibility for various government programs.
• Responsible for clearing patients at ER, hospital bedside or OP registration area in order to obtain cash payment and for eligibility processes.
• Conduct interview with patients and / or family members, record and maintain complete documentation of accounts.
• Assisting patients with coordination of benefit/eligibility issues, financial /insurance forms/applications and arrangements.
• Notifies case management, social services and admission staff of case screening determinations both verbally and written, calculates and collects cash payments as appropriate, aides in gathering data for financial reporting, set up payment arrangements with patients utilizing the WMC guidelines.
• Ability to discuss and collect outstanding balances.
• Assist in registering and/or admitting patients when needed, maintain a knowledge base of all programs offered by WMCHealth network.
• Ability to forge relationships and collaborate with hospital personal and agencies resulting in positive patient outcomes.
• Additional tasks as they relate.

Qualifications/Requirements:

Experience:

1 year in a revenue cycle role in the hospital setting preferred

Education:

High School Degree or GED, required . Associate’s degree, preferred

Licenses / Certifications:

CAC, preferred

Other:

Must adhere to HIPAA rules and regulations as it relates to patient privacy and confidentiality, must be reliableand maintain professional attire and demeanor, must be willing to complete continued education/trainingrequirements. Special Requirements: Knowledge of Medical Insurances (Medicare, Commercial, HMO’s, PPO’s, etc.); EMTALA regulations, hospital billing and collection processes. Ability to work independently. Must pay attention to detail, ability to prioritize, ability to communicate with associates and patients alike, public relation skills and ability to de-escalate patients dealing with distressing situations, professional demeanor. Willingness to develop and/or improve public speaking skills, excellent writing and communication skills, and knowledge of medical terminology. Reliability and dependability for given work schedule.