Patient Financial Counselor

Conway Medical Center; Conway (SC); On-site; USD 42,000 - 62,000; Full time

Job summary

Conway Medical Center is seeking a Patient Financial Counselor to determine client eligibility for enrollment in community programs including Medicaid. The role focuses on delivering high-quality customer service to a diverse client base, applying policy knowledge to assess applications accurately.

The position requires three years in general patient accounting and two years in customer service, with familiarity with Medicare/Medicaid guidelines and MS Office tools.

Qualifications

• Requires high school diploma or equivalent.
• Minimum of three years' General Patient Accounting experience.
• Minimum of two years' Customer Service experience.

Responsibilities

• Determine client eligibility for enrollment in community programs or Medicaid.
• Provide high-quality customer service with diverse populations.
• Review and process charity requests and financial assistance applications.
• Coordinate with patients and external agencies to determine qualification for programs.
• Schedule appointments to collect financial statements and other documents.
• Greet patients and maintain exemplary customer service.

Skills

Customer service

Communication

Attention to detail

Education

High School Diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Job description

Position Summary:

The Patient Financial Counselor determines client eligibility for enrollment in available community programs including local funding and/or Medicaid. The Patient Financial Counselor is responsible for delivery of high-quality customer service with attention to special needs of a diverse client base. Employees must apply technical knowledge to analyze application materials to make appropriate decisions regarding client eligibility and ensure appropriate application of policies and procedures.

Qualifications:

Education:

• High School Diploma or equivalent required.

Experience

• Minimum of three (3) years' General Patient Accounting experience.
• Minimum of two (2) years' Customer Service experience.
• Knowledge of Medicare, Medicaid, HMO, PPO and Commercial guidelines.
• Working knowledge of Word, Excel and other Microsoft applications.
• Effective communication skills and excellent working relationships with patients and physicians.

Licensure/Certification/Registration

• AAHAM OR CRCS Certification preferred.
• Certification with SCDHHS (Heath Exchange Program) within 12 months of hire required.

Duties & Responsibilities:

• Requires fundamental knowledge of Conway Medical Center collection policies and procedures as well as other positions for Financial Assistance.
• Collect all inpatient and observation out-of-pocket expenses while the patient is in-house. Out-of-pocket expenses include, but are not limited to deductible, co-payments, services excluded by insurance plan, and/or self-pay negotiated amount due.
• Timely and accurate review of Charity Pending requests, request for copies of Itemized bills or claims, and incoming mail.
• Responsible for following up on all Financial Assistance requests through email/Patient Portal/telephone.
• Assist patients with the application process to include the Heath Exchange Program.
• Schedule appointments with patients to collect financial statements, unemployment, social security, and any other funding.
• Greet all patients and their accompanying family members when applicable and provide exemplary customer service.
• Coordinate with outside agencies for the patient qualifications of Conway or the State of South Carolina.
• Serves as a source for patients that exceed the Health Care District Coordinated Care FPLG (Federal Poverty Level Guidelines) but meets Charity Care FPLG.
• Interview people in need of services and assist them in navigating the documentation process.