Senior Financial Counselor

Parkland Health; United States; Vor Ort; USD 55.000 - 75.000; Vollzeit

Zusammenfassung

Parkland Health is seeking a program expert in Patient Financial Services to lead screening and qualification for funding programs for Parkland patients. You will interview patients, verify eligibility, and guide them through ACA funding options, while coordinating with insurers and public funding sources to ensure timely applications and compliant documentation.

The role requires four years of relevant experience, familiarity with health care funding programs, and proficiency with medical

Qualifikationen

• Must have 4 years experience determining financial eligibility for government funding, program funding, public funding or patient assistance programs in a physician or hospital business office setting.
• Must obtain Affordable Care Act (ACA) certification within 12 months of hire date.
• Must complete HealthStream, Patient Access Pre-Registration 100-1, and Patient Access Pre-Registration Eligibility trainings.

Aufgaben

• Complete designated HealthStream courses annually, as assigned by management.
• Acts as the primary resource for supervisor to support counselors with training, complex financial assessments, and workflow issues.
• Review patient accounts and financial files to verify funding sources, ensure timely applications, and accurate billing.
• Screen patient demographics and financial documentation to identify appropriate funding programs.
• Ensure patients qualified for assistance are properly instructed and receive benefits.
• Verify and obtain insurance benefits, forward referrals, and pre-certifications to clinical staff.
• Assist patients in completing certifications with public funding agencies to meet deadlines and expedite process.
• Encourage appointments to complete the process and document actions in the hospital system.
• Communicate patient financial responsibilities and collect co-pays/unpaid balances.
• Provide patients with billing information and post payments; balance cash drawer daily.
• Assign appropriate coverage to accounts including outside agencies to ensure financial responsibilities are fulfilled.
• Perform registration functions including verifying patient ID, demographics, and third-party payors.
• Distribute and obtain signatures on required forms and attach coverages in the system.
• Track productivity and provide reports as required by management.
• Monitor accounts until the application/certification/denial is complete and coverage is prioritized for billing.
• Maintain positive relationships with agencies, patients, insurers, government entities, clinicians, and Parkland staff.
• Stays abreast of developments in financial assistance by attending seminars, reading journals, and participating in professional organizations.
• Completes Parkland-based training and attends staff meetings as required.
• Integrates knowledge into current work practices and stays updated on rules and guidelines affecting Patient Financial Services.
• Establishes internal controls to ensure adherence to regulations and accreditation standards; seeks guidance as needed.
• Seeks ways to improve processes and customer satisfaction; makes recommendations to supervisors and monitors outcomes.

Kenntnisse

Patient screening

Eligibility interviews

Public assistance knowledge

Third-party payors knowledge

Insurance verification

Microsoft Office Suite

Spanish preferred

Strong communication

Ausbildung

High School Diploma/GED

Two Years of College preferred

Tools

Medical software

Microsoft Office Suite

Jobbeschreibung

Primary Purpose

Serves as a program expert and lead resource for immediate supervisor regarding all funding programs, in order to ensure that all Parkland patients are screened and qualified for assistance.

Education

• High School Diploma/GED
• Two Years of College preferred

Experience

• Must have (4) years experience in determining financial eligibility for government funding, program funding, public funding or patient assistance programs in a physician or hospital business office setting.

Equivalent Education and/or Experience

• May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.

Certification/Registration/Licensure

• Must obtain Affordable Care Act (ACA) certification within 12 months of hire date

Required Tests for Placement

• HealthStream
• Patient Access Pre-Registration 100-1
• Patient Access Pre-Registration Eligibility

Skills or Special Abilities

• Must be able to interview patients to determine their financial eligibility.
• Must be able to interview patients to assess their financial eligibility.
• Must demonstrate proficiency in using personal computers and standard office equipment.
• Must have experience with medical software.
• Must possess a solid understanding of public assistance programs and the necessary documentation.
• Must have a thorough knowledge of third-party payors and insurance verification procedures.
• Must understand managed care and insurance contractual agreements.
• Must be detail-oriented, possess basic mathematical skills, and demonstrate strong analytical abilities to resolve financial issues involving various stakeholders, including third-party payors, physicians, patients, and the healthcare system.
• Must demonstrate a positive attitude and possess strong verbal and written communication skills while maintaining professionalism in both appearance and demeanor.
• Must be able to handle potentially stressful situations and manage multiple tasks simultaneously, including instructing and counseling patients about Parkland’s payment policies and public assistance programs.
• Must demonstrate strong organizational and planning skills with attention to detail, maintaining productivity during financial screenings.
• Must be able to communicate effectively with patients, government entities, and Parkland staff.
• Must be capable of solving problems within established policies and procedures.
• Must complete any additional job-related training that is offered.
• Must be able to interact with patients and their families effectively.
• Must be a team player, collaborating with nurse navigators, referral coordinators, and other Patient Financial Services team members.
• Bilingual in Spanish is preferred.
• Proficiency in the Microsoft Office Suite is preferred.

Responsibilities

• Must complete designated HealthStream courses annually, as assigned by management. This requirement will be tracked and managed by the department.
• Acts as the primary resource for the immediate supervisor to support financial counselors with training, complex financial assessments, and monitoring workflow issues and dwell times as needed.
• Reviews patient accounts and financial files to verify that the appropriate funding program sources are pursued, the application process is completed accurately and on time, and accounts are billed correctly.
• Screens patient demographic and financial documentation to identify appropriate funding program(s).
• To ensure all patients who are qualified for assistance are properly instructed and receive benefits.
• Verify and obtain insurance benefits, forward referrals, and pre-certifications to clinical staff to ensure that patient information is complete and accurate, and ensure that Parkland’s financial viability is secure at the most basic level.
• Assists patients in completing the certification process with all appropriate public funding source agencies to ensure applications are complete, deadlines are met, and the certification process is expedited before the patient’s discharge.
• Sets up and encourages applicants to keep appointments to ensure the patient completes the process to qualify for financial assistance—documents actions taken in the hospital accounting system.
• Communicates to the patient their financial responsibility and collects co-pays and/or unpaid balances.
• Provides patients with billing information as required. Enters payments into the computer system to document financial transactions/payment posting. Balances cash drawer at the end of each day.
• Assign appropriate coverage to accounts, including outside agencies when applicable, to ensure patient financial responsibilities are fulfilled.
• Performs registration functions, including verifying patient identification, patient demographics, and all third-party funding payors, to ensure Parkland’s financial viability secured at the most basic level.
• Distributes, offers explanations, and obtains signatures and dates on all required forms as needed.
• Attaches all appropriate coverages, prioritizes correct filing order, and documents actions taken in the hospital accounting system.
• Tracks productivity and provides cumulative reports daily, weekly, or monthly, as required by supervisor and/or manager.
• Monitors and administers all assigned accounts until the patient’s application, certification, and/or denial process or review is complete, all appropriate coverages are attached, and the coverages are prioritized correctly for proper billing.
• Maintains a positive working relationship with contacts at all agencies and funding programs, patients, insurance companies, government entities, clinical personnel, other Financial Counselors, and management, to promote teamwork, cooperation, and a positive public image for Parkland.
• Serves as a positive role model for staff and patients, demonstrates strong interpersonal and persuasive abilities to ensure client compliance and cooperation with state/ federal agencies. Accepts constructive criticism and integrates suggestions in effective ways.
• Stays abreast of the latest developments, advancements, and trends in financial assistance by attending seminars/workshops, reading professional journals, and actively participating in professional organizations.
• Completes all Parkland-based training and attends staff meetings as required by management.
• Integrates knowledge gained into current work practices.
• Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact Patient Financial Services.
• Establishes strong internal controls to guarantee adherence to applicable state and federal regulations, alongside the standards set by accreditation organizations and different health plans in the federal, state, and private sectors.
• Seeks advice and guidance as necessary to ensure proper understanding.
• Identifies ways to improve work processes and improve customer satisfaction.
• Making recommendations to supervisors, implementing changes, and monitoring outcomes aligned with the department and Parkland’s goals are expected.
• Performs other work as requested that is reasonably related to the employee’s position, qualifications, and competencies

Job Accountabilities

• Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.
• Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
• Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.