Financial Counselor Senior

Mountain Region Support; Colorado Springs (CO); On-site; USD 55,000 - 75,000; Full time

Job summary

Penrose - St. Francis Health Services in Colorado Springs seeks a Senior Financial Counselor to administer Medicaid Presumptive Eligibility, Charity and Foundation Programs and to conduct thorough financial screenings to guide patients to suitable programs.

You will counsel patients on private and public medical benefits, verify insurance, explain financial requirements, and collect patient portions at or before service. Mentoring new associates and aiding orientation are also part of the role.

Qualifications

• High School Diploma or GED required.
• Knowledge of ICD-10 and CPT coding and medical terminology.
• Preferred: 1 year health care experience.
• Knowledge of registration, billing and credit scoring.
• Knowledge of state Medicaid programs, Hospital Discounted Care, and financial assistance; experience in hospital/clinical/health center settings; proficiency with EMR systems like Epic.
• Preferred experience with Google systems or similar programs to navigate Email, chat, etc.
• Strong understanding of medical and insurance terminology with strong communication skills.

Responsibilities

• Screen patients for Medicaid Presumptive Eligibility, Charity, or Foundation Programs and determine eligibility.
• Interact with executives on approval of payment plans or settlements.
• Work with Patient Representatives researching and handling patient billing complaints.
• Collect patient portions as applicable.
• Maintain effective communication with physicians and staff to ensure proper program implementation.
• Promote a positive, professional, team-oriented environment reflecting system values.

Skills

Financial counseling

Communication skills

Negotiation

Mentoring

Education

High School Diploma/G.E.D.

Tools

Epic EMR

Job description

Job Summary and Responsibilities

As our Senior Financial Counselor, you will administer various financial assistance programs (Medicaid Presumptive Eligibility, Medical disability, long-term care applications, Hospital Financial Assistance), and meticulously perform financial screenings to direct patients to appropriate programs.

Every day you will counsel patients on private and public medical benefits, including insurance and co-payments, verify insurance benefits, explain financial requirements, and collect outstanding patient portions prior to or at the point of service. You will also serve as a mentor to new associates and assist in new employee orientation.

To be successful in this role, you will possess strong financial counseling expertise, a deep understanding of complex medical benefits, exceptional communication and negotiation skills for patient interaction and payment plan administration, and the ability to interact with executives on payment plan approvals.

• Screens patients for application to the Medicaid Presumptive Eligibility, Charity Program or the Foundation Programs and makes determination of eligibility into these programs.
• Interacts with executives and other leadership on approval of payment plans or settlements.
• Works closely with the Patient Representatives in researching and handling patient complaints related to billing.
• Collect patient portion as applicable.
• Maintains effective communication with physicians and staff through meetings and telephone contact to insure proper implementation of the program.
• Actively seeks to promote and helps to maintain a positive professional, team-orientedand service conscious environment which contributes to the goals of the department and reflects the values of the System through interactions with all others within and outside the department and Community Agencies.

Job Requirements

Required

• High School Diploma/G.E.D.
• Knowledge of ICD-10 and CPT coding and medical terminology

Preferred

• One (1) year health care experience
• Knowledge of registration, billing and credit scoring
• knowledge of state Medicaid programs, Hospital Discounted Care, and financial assistance; experience in a hospital, clinical or community health center setting related to Financial Assistance processing and registration; proficiency with Epic or similar electronic medical record (EMR) systems
• Preferred experience with google systems or other similar programs to navigate Email, chat, etc
• Strong understanding of medical and insurance terminology and strong communication skills

Where You'll Work

Penrose - St. Francis Health Services is a full-service, 712-bed acute care provider in Colorado Springs comprising Penrose Hospital, St. Francis Hospital and St. Francis Hospital - Interquest. Penrose Hospital serves as the anchor hospital of Penrose-St. Francis Health Services with 300-licensed beds and the ability to provide tertiary (high tech) medical-surgical services with an emphasis on elective and outpatient care. Established in 1890, Penrose Hospital has grown to become a major health treatment and referral center, specializing in cancer care, cardiac care, emergency trauma care and physical rehabilitation. It’s an incredible time to join us as we are a proud Magnet® Hospital with designation from the American Nurses Credentialing Center (ANCC) for superior quality in nursing care. With more than 300 days of annual sunshine, mild winters and easy-to-access recreational areas like Pikes Peak, Garden of the Gods and some of Colorado’s top destination resorts, you will enjoy an incredible lifestyle while having the career you’ve always wanted.