Financial Counselor (Full Time, Days. Bilingual Preferred)

St. Luke's University Health Network; Phillipsburg (NJ); On-site; USD 38,000 - 54,000; Full time

Job summary

St. Luke’s University Health Network is seeking a Financial Counselor to provide prompt, courteous reception and processing of patient inquiries, verify third party payer benefits, and support inpatient billing processes. Travel to multiple campuses may be required.

Responsibilities include ensuring Medicare MSP documentation, PATHS closeout letters, and assisting with financial counseling and billing inquiries from walk-ins and the phone line, with emphasis on accurate and timely processing.

Qualifications

• High school diploma or equivalent required.
• Knowledge of ICD9, ICD10, and CPT coding beneficial.
• Experience with hospital billing, admissions, or payer areas preferred.

Responsibilities

• Prompt, courteous reception and processing of patient inquiries.
• Verify third party payer and workers' compensation benefits for inpatients.
• Communicate effectively about insurance coverage and billing issues.
• Follow up on patients with secondary coverage and financial assistance programs.
• Assist in PATHS referrals and documentation.
• Answer billing questions from walk-ins and phone line daily.

Skills

Billing knowledge

Insurance terminology

Revenue cycle understanding

Communication skills

Education

High school diploma or equivalent

Medical billing terminology knowledge

Job description

St. Luke’s is proud of the skills, experience and compassion of its employees. The employees of St. Luke’s are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient’s ability to pay for health care.

HOURS:

Full Time, Days, 40 hours/week

Mon-Fri

7:30 AM - 4:00 PM

No nights, no holidays

Occasional coverage of community events on weekends may be required

*Must be willing to travel to and cover at any St. Luke’s campus as needed

*Bilingual (English/Spanish) Preferred

The Financial Counselor is responsible for prompt, courteous reception and processing of all customer/patient inquiries as well as accurate and timely verification of third party payer and workmen’s compensation benefits for all inpatients.

JOB DUTIES AND RESPONSIBILITIES:

• Insuring that all Medicare Patients have the following :

• IMM Signatures within 48 hours or letters sent out;

• MSP Screens completed accurately.

• Follow up on all inpatient and high dollar patients who do not have secondary coverage after Medicare.

• Utilize Search America to evaluate patients for hospital Financial Assistance Program and obtain all necessary financial documentation to support eligibility on All Self Pay Accounts including: Self Pay POS accounts referred by Admission Services, Self Pay SAT accounts referred by Outpatient Registration, any High Dollar outpatient Self Pay (i.e. Oncology/OB) that appears on high dollar report or are referred by a Financial Rep.

• Processing PATHS close out letters.

• Referring patients to PATHS via and documenting on I drive.

• Following up on any Email/mail requests.

• Answering Financial Counseling Phone line and taking off messages daily.

• Answering Walk in Billing questions.

• Resolves or assists with complaints, misunderstandings, and inquiries related to insurance coverage or billing issues.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting up to 8 hours per day, 4 hours at a time. Frequent use of hands/fingers for data entry. Occasional walking and ability to push up to 250 pounds in a wheelchair. Ability to occasionally carry or lift up to 10 pounds. Hearing as it relates to normal conversation. Seeing as it relates to general vision.

EDUCATION:

High school graduate or equivalent required.

TRAINING AND EXPERIENCE:

One to two years of healthcare experience, billing department or insurance related field. Minimum of one to two years’ work experience with hospital admitting or as a payer, hospital business office or related business area. Basic accounting and medical terminology to include ICD9, ICD10, and CPT coding. Prior experience with analyzing insurance coverage and benefits a plus. Overall knowledge of the revenue cycle and accounts receivable required. Knowledge of billing requirements, financial counseling and payment options/collections.

St. Luke’s University Health Network is an Equal Opportunity Employer.