Patient Access Financial Counselor-2

Nationwide-Children; Columbus (OH); On-site; USD 42,000 - 63,000; Full time

Job summary

Nationwide Children's Hospital seeks a Financial Counselor to assist inpatients and outpatients with financial responsibility. You will contact patients and families regarding financial assistance, verify insurance eligibility, and collaborate with the managed care group for pre-certification and benefit determinations.

Ideal candidates have strong customer service skills, knowledge of managed care trends, and experience with registrations and billing in a hospital setting.

Qualifications

• Interviews patients and/or family members to secure information concerning insurance coverage, eligibility, and qualification for various financial assistance programs.
• Meets with patients/families on the unit to obtain information that was not collected during the admission process and completes registration items (insurance cards, prescription cards, demographics).
• Assesses the patient’s need for financial assistance during admission or prior to discharge.
• Determines patient eligibility for charity care for inpatient/outpatient care and forwards applications for review.
• Completes notes in the EPIC system on all discussions, events and outcomes.
• Responds to inquiries regarding patient accounts and financial assistance policies.
• Keeps effective communication with other departments, staff, patients and visitors.

Responsibilities

• Interview patients and families to collect insurance and eligibility information.
• Assist with charity care applications and forward for final review.
• Document discussions and outcomes in the EPIC system.
• Respond to inquiries about accounts and financial assistance policies.
• Collaborate with departments to ensure accurate registration and demographic data.

Skills

Customer service

Communication skills

Problem solving

Attention to detail

Managed care knowledge

Medical terminology

Teamwork

Adaptability

Data entry

Registrations/billing experience

Education

High school diploma

Associates degree preferred

Tools

EPIC system

Job description

Overview:Job Description Summary:Provides counseling to inpatients and outpatients for financial responsibility. Serves as the primary contact for patients and families regarding financial assistance, and insurance coverage eligibility. Partners with the managed care group to determine advanced verification of insurance, pre-certification, and benefit determination.Job Description:Essential Functions:Interviews patients and/or family members to secure information concerning insurance coverage, eligibility, and qualification for various financial assistance programs.Meets with patients/families on the unit to obtain information that was not collected during the admission process and completes registration items, (i.e. insurance cards, prescription cards, correct demographic information etc.).Assesses the patient’s need for financial assistance during the admission process or at a time prior to the patients discharge.Determines patient eligibility for charity care for inpatient/outpatient level of care. Completes the charity application in accordance with NCH charity care policies. Forwards applications to Patient Accounts for final review and approval.Completes notes in the EPIC system on all discussions, events and outcomes.Responds to all inquiries regarding patient accounts and financial assistance policies.Maintains effective communication and cooperative working relationships with other departments, staff, patients and visitors.Education Requirement:High school graduate, required.Associates degree preferred.Licensure Requirement:(not specified)Certifications:(not specified)Skills:Excellent customer service and communication skills.Ability to work and problem solve with minimal supervision.Analytical and decision-making skills with a strong attention to detail required.Ability to understand and retain complex and quickly changing information.Knowledge of the impact of managed care trends on hospital operations.Familiar with medical terminology.Able to function as a team member responsible for staffing operational hours.Ability to adapt to change positively in workflow and process.Keyboarding/typing/data entry skills.Experience:Two years’ experience in registration, collections, customer service, billing or related medical field, preferred.Familiarity with government, commercial and third-party billing, preferred.Physical Requirements:OCCASIONALLY: Chemicals/Medications, Climb stairs/ladder, Communicable Diseases and/or Pathogens, Lifting / Carrying: 0-10 lbs, Loud Noises, Pushing / Pulling: 0-25 lbs, Pushing / Pulling: 26-40 lbs, Reaching above shoulder, Squat/kneel, Standing, WalkingFREQUENTLY: Bend/twistCONTINUOUSLY: Audible speech, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing – Far/near, SittingAdditional Physical Requirements performed but not listed above:Ability to multi-task within a stressful environment.\"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet\"