Ld Financial Counselor

Phoenix Children's Hospital, Inc.; Phoenix (AZ); On-site; USD 70,000 - 100,000; Full time

Job summary

Phoenix Children's Hospital, Inc. is seeking a Lead Financial Counselor to guide and train the Family Financial Counselors. The role educates families about insurance benefits, payment options, and out‑of‑pocket amounts, and assists with government and commercial coverage avenues.

It coordinates with the care team to ensure families understand liability and options. Responsibilities include training, quality assurance, back‑up coverage, staff performance input, and serving as the primary

Qualifications

• Associates degree in health care, business or related field OR the equivalent combination of education and experience.
• HIPAA privacy act knowledge required.
• Experience with HMOs and other third‑party payers within and outside the United States.
• Four or more years of experience in a health care revenue cycle environment.

Responsibilities

• Guide and train family financial counselors to ensure consistent performance.
• Maintain positive relationships with patients, guarantors, insurers, and clinical staff.
• Provide back‑up coverage for staff shortages and high volume periods.
• Participate in education programs to maintain skills and competency.
• Provide feedback on staff performance to supervisory leadership.
• Resolve problems with internal and external clients and escalate as needed.
• Maintain understanding of Federal Marketplace, Medicare, AHCCCS, and third‑party payer rules.
• Act as primary financial contact for international patients.
• Perform miscellaneous job duties as requested.

Skills

Spanish language proficiency

Education

Associates degree in health care, business or related field

Job description

This position guides and trains the Family Financial Counselors in working with patient families to educate them on insurance benefits, payment options and out of pocket amounts due, assisting them in obtaining 3rd party coverage through government and commercial avenues and walking them through the Phoenix Children's financial assistance and premium assistance programs when applicable. The Lead Financial Counselor thinks creatively about coverage options in a changing healthcare environment and provides a customer service friendly approach that is coordinated with with the patient's care team in order to ensure that the family has a full understanding of liability, coverage and coverage options, and payment options.

Position Duties

• Conducts training and quality assurance with family financial counselors to ensure that they understand all aspects of their job duties and are performing them consistently and at the standard level set by the organization. Ensures that staff are oriented to the job expectations so they may fully carry out their responsibilities.
  
• Maintains a positive working relationship with patients/guarantors, insurance companies, government entities, clinical personnel, co-workers and management to promote teamwork, cooperation and a positive public image for Phoenix Children's.
  
• Fulfills all the duties of the Family Financial Services Counselor and acts as back up coverage for staff shortages due to PTO, open positions, and times of high volume.
  
• Participates in a variety of unit and hospital education programs to maintain current skill and competency levels.
  
• Provides input regarding staff performance to the Supervisor of Admitting and Financial Counseling such that he/she can review employees' performance annually and can take corrective action when necessary.
  
• Resolves problems with internal and external clients. Involves other supervisors an department leadership as necessary.
  
• Maintains an in depth understanding of the Federal Marketplace, Medicare, Managed Care, AHCCCS, and other third party payer rules, authorization and billing requirements.
  
• Acts as primary financial contact for all international patients seeking health care services from PC/PCMG.
  
• Performs miscellaneous job related duties as requested.
  

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable

Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.

Education

• 1. Associates degree in health care, business or related field OR the equivalent combination of education and experience.
  Required Yes No

Experience

• 1. Ability to speak and write Spanish.
  Preferred Yes No
• 2. AMPFM and Misys platform experience.
  Preferred Yes No
• 3. Experience with full disclosure laws, credit analysis and the fair debt collection practices act.
  Preferred Yes No
• 4. Experience with and knowledge of the HIPAA privacy act.
  Required Yes No
• 5. Experience with HMOs and other third-party payers within and outside the United States.
  Required Yes No
• 6. Experience with related Federal and State programs available to the uninsured.
  Required Yes No
• 7. Four (4) or more years of experience in a health care revenue cycle environment.
  Required Yes No

Physical Requirements & Occupational Exposure/Risk Potential

• 1. Physical Requirement - Climbing - Occasionally
• 2. Physical Requirement - Feeling (sensing textures and temperatures) - Occasionally
• 3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Frequently
• 4. Physical Requirement - Hearing - Constantly
• 5. Physical Requirement - Pushing/pulling - Frequently
• 6. Physical Requirement - Reaching - Frequently
• 7. Physical Requirement - Sitting - Frequently
• 8. Physical Requirement - Standing - Frequently
• 9. Physical Requirement - Stooping/crouching/kneeling/crawling - Occasionally
• 10. Physical Requirement - Talking - Frequently
• 11. Physical Requirement - Tasting/smelling - Occasionally
• 12. Physical Requirement - Walking - Frequently
• 13. Physical Requirement - Near Vision - Occasionally
• 14. Physical Requirement - Far Vision - Occasionally
• 15. Physical Requirement - Color Discrimination - Occasionally
• 16. Physical Requirement - Use of keyboard, mouse and/or computer equipment - Frequently
• 17. Physical Requirement - Lift up to 35 pounds without assistance - Occasionally
• 18. Physical Requirement - Lift more than 35 pounds without assistance - Occasionally
• 19. Occupational Exposure/Risk Potential - Inside office environment - Applicable
• 20. Occupational Exposure/Risk Potential - Confined areas - Applicable
• 21. Occupational Exposure/Risk Potential - Airborne communicable diseases - Applicable
• 22. Occupational Exposure/Risk Potential - Bloodborne pathogens or bodily fluid - Applicable
• 23. Occupational Exposure/Risk Potential - Fumes or airborne particles - Applicable
• 24. Occupational Exposure/Risk Potential - Hazardous materials exposure - Applicable

I have reviewed the qualifications, physical requirementsand occupational exposure/risk potential for this position and wish to apply I Agree