Patient Financial Counselor

Adams County Regional Medical Center; Northern (KY); Hybrid; USD 32,000 - 48,000; Full time

Job summary

Adams County Regional Medical Center is seeking a detail-oriented billing associate to coordinate credit investigations and delinquent account collections. You will verify financial status, determine eligibility for HCAP and Medicaid, and manage payments and authorization forms.

The role requires accuracy in handling sensitive information, strong customer service, and teamwork to support accounting and patient enrollment processes.

Qualifications

• High School Diploma or GED required.
• At least 1 year medical billing experience preferred.

Responsibilities

• Investigates and verifies financial status of prospective customers.
• Screens inpatients/outpatients for HCAP and sliding fee scale eligibility.
• Answers customers questions regarding statements and insurance coverage.
• Establishes credit limitations on customer accounts and handles special credit arrangements.
• Reviews A/R reports to ascertain status of collections and outstanding balances.
• Receives payment on accounts.
• Obtains signed authorized representative form.
• Screens patients for Medicaid eligibility.
• Maintains active eligibility spreadsheets and denied applications.

Skills

Customer Service

Interpersonal Skills

Oral Communication

Written Communication

Teamwork

Ethics

Diversity

Judgment

Planning/Organizing

Adaptability

Education

High School Diploma or GED

Job description

Summary

Coordinates activities of workers engaged in conducting credit investigations and collecting delinquent accounts of customers by performing the following duties personally or through co-workers.

Essential Duties and Responsibilities

include the following; other duties may be assigned.

• Investigates and verifies financial status of prospective customers
• Screens inpatients/outpatients for determination of HCAP and sliding fee scale eligibility
• Answers customers questions regarding statement and insurance coverage
• Established credit limitations on customer accounts and handles special credit arrangement and deviations from standards terms of payment
• Reviews A/R reports to ascertain status of collections and outstanding balances
• Receives payment on accounts
• Obtains signed authorized rep form
• Screens patients for Medicaid eligibility
• Opens cashier drawer, balances cashier drawer and closes cashier drawer
• Maintains active eligibility spreadsheet (G:drive)
• Maintain spreadsheet for denied applications (G:drive)
• Scans and maintains all applications and income verification documents

Supervisory Responsibilities

This job has no supervisory responsibilities.

Competencies

To perform the job successfully, an individual should demonstrate the following competencies:

Customer Service

Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.

Interpersonal Skills

Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.

Oral Communication

Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions.

Written Communication

Writes clearly and informatively.

Teamwork

Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.

Cost Consciousness

Conserves organizational resources.

Diversity

Shows respect and sensitivity for cultural differences; promotes a harassment-free environment.

Ethics

Treats people with respect; Keeps commitments; inspires the trust of others; Works with integrity and ethically; Upholds organizational values.

Organizational Support

Follows policies and procedures; Supports organization's goals and values.

Judgment

Displays willingness to make decisions; Exhibits sound and accurate judgment; Includes appropriate people in decision-making process; Makes timely decisions.

Motivation

Demonstrates persistence and overcomes obstacles; Measures self against standard of excellence.

Planning/Organizing

Prioritizes and plans work activities; Uses time efficiently.

Professionalism

Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.

Quality

Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.

Quantity

Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.

Safety and Security

Observes safety and security procedures; Reports potentially unsafe conditions ; Uses equipment and materials properly; Compliance with all hospital and regulatory safety regulations and procedures.

Adaptability

Adapts to changes in the work environment; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.

Attendance/Punctuality

Is consistently at work and on time and does not have excessive absenteeism.

Dependability

Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Completes tasks on time or notifies appropriate person with an alternate plan.

Initiative

Seeks increased responsibilities; Looks for and takes advantage of opportunities; Asks for and offers help when needed.

Innovation

Meets challenges with resourcefulness; Generates suggestions for improving work; Presents ideas and information in a manner that gets others' attention.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

High School Diploma or GED required. At least 1 year medical billing experience preferred.

Language Skills

Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

Mathematical Skills

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.

Reasoning Ability

Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; talk, hear or smell. The employee is frequently required to reach with hands and arms. The employee will also be required to sit; climb or balance and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds, frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Frequent exposure to chemicals, blood and body fluids.