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Years of Experience
Date Last Verified
Financial Counselor The candidate reviews alpha census daily and visits in-house patients; collects estimated patient liable amounts; works closely with outside agencies to ensure patient coverage. Visit all self-paying patients in-house. Provide estimates to patients and/or physicians as requested. Generate insurance verification and precertification reports daily and follow up with case management and insurance verification departments as appropriate. Post ER and Patient Access deposits into PA system. Contact insurance companies for patient benefits and precertification requirements. Review alpha census daily for visits exceeding the original length of precertification and work closely with utilization review for concurrent certification. Assist patients with payment arrangements and charity applications. Work closely with outside agencies in helping patients apply for Medicaid and state aid. Maintain insurance files regarding updates and changes. Forward problems or concerns to Patient Access Manager. Enter pertinent insurance information into CPCS and prorate account. Enter notes into the collections system for all patient encounters. Maintain professional image and implement excellent customer service to customers. Complete financial analysis and collect estimated patient liabilities. Follow up with patients for necessary signatures if they were incomplete at time of hospitalization. Consistently receive and receipt payments from patients for hospital services in accordance with internal cash control procedures. Interact with Patient Account Services Insurance Verification Department in establishing up-front payment arrangements with patients. Attends in-service presentations, and completes mandatory education week, including but not limited to, infection control, patient safety, quality improvements, MSDS and OSHA standards. Demonstrates knowledge of occurrence reporting system and utilizes system to report potential patient safety issues. Practice and adhere to the â€œCode of Conductâ€ philosophy and â€œMission and Value Statementâ€. Other duties as assigned. High school diploma or GED required. Should have 1+ year of collections experience, Relevant education may substitute experience requirement.
Job Number: 08948-148943
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