Full-Time Financial Counselor

Ashe Memorial Hospital; Jefferson (NC); In loco; USD 41.000 - 56.000; Tempo pieno

Descrizione del lavoro

Ashe Memorial Hospital in Jefferson, North Carolina, invites applications for a Patient Financial Counselor. This role estimates financial liability, provides patient guidance on medical bills, and promotes a positive patient experience.

Hours are Mon–Fri, 8am–4:30pm, with pay commensurate with experience. Minimum qualifications include a high school diploma or GED with preferred post-secondary insurance billing or medical terminology exposure; 1 year of third-party billing experience and 2

Competenze

• Education: High school diploma or GED required; post high school courses or experience in insurance billing and medical terminology preferred.
• Experience: 1 year in computerized third-party billing; knowledge of third-party billing requirements; 2 years in hospital business office preferred; 1 year with Meditech preferred.

Mansioni

• Review insurance eligibility and apply benefits to estimate patient out-of-pocket amounts for procedures and tests.
• Secure payment arrangements to ensure timely resolution of patient accounts.
• Work with hospital departments, Social Services, and third-party agencies to pursue accurate estimations and coverage.
• Address delinquent balances and assist with denials, appeals, and other payment avenues.
• Process claims for estates and bankruptcies; post payments and back up cashier as needed.
• Maintain confidentiality and compliance with HIPAA and hospital policies.

Conoscenze

Insurance billing

Medical terminology

Cash management

Formazione

High school diploma or GED

Strumenti

Meditech

Descrizione del lavoro

At Ashe Memorial Hospital, we are driven by our Mission Statement, "To meet the needs of the community by delivering patient-centered, high quality health care".

Ashe Memorial Hospital is proud to be Voted Ashe's Best Place to Work 2022 & 2023! Come be a part of our dynamic team; you'll join Ashe's 2022 & 2023 Best Hospital, Best Surgeon, Best Physician, Best Nurse, and Best Medical Practice! This is your opportunity to make a large difference in a small community!

Hours: Mon. - Fri., 8am - 4:30pm | No Supervisory Responsibilities | No Travel | Pay commensurate with experience

JOB SUMMARY:

The Patient Financial Counselor estimates financial liability and offers financial advice and assistance to patients regarding medical bills. Interacts with patients and staff in a professional manner, promotes teamwork, and creates an environment where a positive patient experience is a requirement.

MINIMUM JOB QUALIFICATIONS:

Education:

• High school diploma or general education degree (GED) required.
• Post high school courses or experience in insurance billing and medical terminology preferred.
• Cash management training preferred.

Experience:

• 1 year of experience in computerized third-party billing of facility and professional services preferred.
• Knowledge of third-party billing requirements required.
• 2 years of previous hospital business office experience preferred.
• 1 year of experience with Meditech preferred.

ESSENTIAL FUNCTIONS:

1. Reviews insurance eligibility and applies benefits to estimate patient out-of-pocket amounts for procedures and tests.
2. Secures payment arrangements to ensure that patient accounts are resolved in a timely and efficient manner.
3. Works closely with ancillary hospital departments, Department of Social Services, collection agencies, and other agencies to pursue accurate estimations, patient billing, and third-party coverage for accounts.
4. Appropriately addresses delinquent patient balances up to and including turnover to a collection agency.
5. Research outstanding accounts, including contacting third-party payors, until resolved to a zero balance.
6. Obtains financial data to process charity care applications.
7. Works with patients to assist with denials, appeals, and other avenues for payment.
8. Processes claims for estates and bankruptcies.
   Posts payments and backs up the cashier when necessary.
9. Keeps updated on billing regulations including HMO/PPO, Medicare, Medicaid.
10. Maintains confidentiality.
11. Supports the hospital and promotes a positive attitude.
12. Adheres to dress code, appearance is neat and clean.
13. Wears identification while on duty.
14. Adheres to the HIPAA and privacy policies and procedures. Reports any violation or appearance of violation of the policies and procedures and/or laws and regulations addressed in the Compliance Plan and the hospital Code of Conduct to the Compliance Officer, a member of Senior Leadership, or to the Department Director.

Must be willing to receive all required vaccinations (i.e., flu shot, etc.). All new employees working must be fully vaccinated as a condition of employment (unless the new hire has requested and received an exemption). Candidates for employment will be notified of this policy requirement prior to the start of employment. After receiving an offer of employment, new employees must provide proof of vaccination or request and receive an exemption before beginning work.

Criminal background check and pre-employment drug screen required upon conditional job offer.

Benefits apply the 1st of the month following employment, per policy.

For full job description and benefits, please contact Human Resources.

Ashe Memorial Hospital is an equal opportunity employer and, as such, considers individuals for employment according to their abilities and performance. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care. Employment decisions are made without regard to race, age, religion, color, sex, national origin, physical or mental disability, marital or veteran status, sexual orientation, genetic information, or any other classification protected by law. All employment requirements mandated by local, state, and federal regulations will be observed.