KRMC Financial Counselor

Bryan College Of Health Sciences; Kearney (NE); Hybrid; USD 38,000 - 54,000; Full time

Job summary

Bryan College of Health Sciences seeks an experienced Financial Counselor to verify insurance benefits, assist with patient access, and support timely reimbursement for services. You will communicate with patients, families, and staff to gather accurate information and explain billing options.

Essential functions include answering calls, printing statements, posting deposits, handling cash, and ensuring confidentiality of PHI in compliance with regulations. Prior health care experience preferred.

Qualifications

• Knowledge of computer hardware equipment and software applications relevant to work functions.
• Ability to communicate effectively both verbally and in writing.
• Ability to perform crucial conversations with desired outcomes.
• Ability to establish and maintain effective working relationships with all levels of personnel and medical staff.
• Ability to problem solve and engage independent critical thinking skills.
• Ability to maintain confidentiality relevant to sensitive information.
• Ability to prioritize work demands and work with minimal supervision.
• Ability to maintain regular and punctual attendance.

Responsibilities

• Facilitates timely access to care by verifying insurance eligibility and benefits.
• Collects assigned accounts to ensure timely reimbursement and follow-up.
• Communicates with patients, families, and staff to secure account resolution.
• Maintains confidentiality of PHI for compliance and prompt payment.
• Assists with medication assistance applications and patient liaison with providers.
• Responds to billing questions in person or by phone and supports cash handling.

Skills

Customer service

Communication skills

Confidentiality compliance

Problem solving

PC literacy / MS Office

Education

High school diploma or equivalent

2+ years in healthcare billing/financial counseling

Tools

Billing software

Job description

Summary

Facilitates timely access to care by ensuring insurance eligibility and benefits are verified prior to service. Responsible for the collection of assigned accounts to ensure timely and accurate reimbursement and consistent follow-up and collection efforts. Regularly conducts communications(in personorover thephone)with patients and their families, attorneys, outside agencies,PVMC/KRMC personnel and medical staff to secure resolution of accounts while maintaining quality customer service. Maintains confidentiality of protected health information necessary for statutory compliance and prompt payment for medical services.

PRINCIPAL JOB FUNCTIONS:

• *Commits to theKRMCmission, vision,values,andgoals andconsistently demonstrates our core values.
• *Assistswith answeringphone calls, directing internal and external calls, and greetingand providing excellent customer service topatients andvisitors.
• Maintains theappearance ofthefront lobby;reports any issuestoappropriate leader.
• *Assistswith printing itemized statements, completingdepositsand maintainingdaily cash logs, upfront collections,answeringbilling questions(in personor over the phone), financial assistance processes,and patient procedure cost estimates, asneeded.
• *Researches receipts that are not clearly marked for posting.
• *Greetsand directs patients,theirrelatives or other responsible individuals to obtain necessary information for account processing,includingbut not limited to, identifying and biographical information, insurance and financial information, employment information, emergency contacts,and any/all required information. Ensures that business office duties are carried out according to facility policies and procedures.
• *Researches,verifies and updates as necessary the accuracy of patient demographic and insurance information, prior correspondence, contacts and payments.
• *Assistspatients with Medication Assistance. Completing and submitting applications.Notifiespatients when medications have arrived.Acts as a liaison between patients andprescriptioncompany.Callspatients to re-enroll.
• Displays courtesy and sensitivity.Manages difficult or emotional customer situations, completing and reporting incidents, as necessary.
• Responds promptly, courteously, and professionally to customer needs whether in person, or by telephone.
• Works closely with physicians,nursing,registration,ancillarydepartments, patient financial services,clinic and hospital billing, SBO,patients, insurance companies and families.
• Recommends revisions in business office policies and procedures to maintain compliance with federal and state rules and regulations.
• Activatesand announcesall patient access emergency call systems; respondstimely and appropriately within limits, to an emergency as outlined in departmentprocedures.
• Preparesthedailyclinicbank deposits.
• *Distributesmail to appropriaterecipientsin the mailbox distribution areas.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of the latest trends in the field of expertise.
• Participates in meetings, committees,and department projects as assigned.
• Performs other related projects and duties as assigned.

(Essential Job functions are marked with an asterisk “*).

REQUIRED KNOWLEDGE,SKILLS,AND ABILITIES:

• Knowledge of computer hardware equipment and software applications relevant to work functions.
• Ability to communicate effectively both verbally and in writing.
• Ability to perform crucial conversations with desired outcomes.
• Ability toestablishand maintain effective working relationships with all levels of personnel and medical staff.
• Ability to problem solve and engage independent critical thinking skills.
• Ability to maintain confidentiality relevant to sensitive information.
• Ability to prioritize work demands and work with minimal supervision.
• Ability to maintain regular and punctual attendance.

EDUCATION AND EXPERIENCE:

High school diploma or equivalency required.Minimum of two (2) years’ experience in financial counseling, pre-authorization, patient access, billing estimates, cash collection, insurance, appointment scheduling, or related experience in a health care environment preferred.Knowledge of medical terminology/CPT and coding skillspreferred.Knowledge of third-party payer requirementspreferred.Minimum of one (1) yearof cashier and cash handling experience, and/or previous secretarial experiencepreferred.

PHYSICAL REQUIREMENTS:

(Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.)

(DOT) – Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.