Financial Counselor II - Chemotherapy - 377315

Financial Counselor II - ChemotherapyUS:NM:Santa Fe | Patient Financial Services | Full TimeSummary:Analyze and review of self-pay accounts to make determination for voluntary free care and work with patients, physicians, social workers and other hospital staff to direct them in applying for any assistance that may be available. Responsible for interviewing patients, providing financial counseling by estimating balances due, and offering opportunities for payment. Secure payment or contract for payment.

Responsible for daily review of all pre-admits, review of all in-house patient accounts identified by registration staff as a self-pay, limited insurance benefits, and insured patients who owe deductibles/co-pays/co-insurance. Offers financial arrangements, or aids the patient, spouse, or family member by assisting with completion of Financial Assistance Application (FAA) form, if applicable. Requests deposits and establishes financial arrangements before admission, upon admission, and at discharge.

Performs other job duties as requested by supervisor/manager.Responsibilities:Reviews accounts verified with minimal or exhausted insurance, all in-house self-pay accounts, and in-house insured patients who owe co-pays/deductibles/co-insurance.Review of daily reports identifying self-pay patientsWorks with inpatient teams to identify insured and under-insured patients for collections effortsInitiates appropriate follow-up, investigates any additional resources, deposits, discharges and transfers.Visits with patient or families to make financial arrangements for payment or to determine charity care and/or Medicaid eligibilityAssists patient with billing issues and questions about insurance coverageAccount follow up to ensure required documentation is present; i.e. insurance cards, hospital consent forms, financial assistance forms.Responds to inquiries from patients', physicians', or physician staff regarding estimated cost of diagnostic test, surgical procedures, inpatient visit, and outpatient services.Maintains a file of estimated charges for inpatient, outpatient, and surgical procedures. File is updated with the most current charge information.Quotes deposit amount.Documentation ResponsibilitiesConsistently and documents payment arrangements previously agreed upon before patient requires services.Responsible for maintaining completed and signed hospital service agreement form in designated office fileDocuments all patient inquiries and requests for financial assistance approval.

Files in designated office fileFollows up with patients to obtain supporting documentation required by Corporate Management Directives. This supporting documentation is used to substantiate patient qualification for charity care or discounted care.Registration & SchedulingObtains and accurately inputs all required data elements for scheduling and registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter.Prioritizes and completes registrations / scheduling in a consistent, courteous, professional, accurate and timely manner.Ensures each patient is assigned only one medical record number.Selects appropriate patient type based on the department and services required.Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents. Knowledgeable of all such documents.Hospital care consentNotice of VisitHealth Information Exchange (HIE)Important Message from Medicare (IMM)Medicare Outpatient Observation Notice (MOON)Financial Assistance ApplicationNotice of Privacy PracticesPatient RightsDocuments in account notes.Insurance Verification & Explanation of BenefitsVerifies eligibility and obtains necessary authorizations for services rendered.Utilizes online tools to verify insurance benefits, run medical necessity, determine estimate for services and process upfront collections.Answer Medicare Secondary Payor Questionnaire.Demonstrates accuracy in selecting insurance plansKnowledge and ability to review notes on all pre-admitted accounts and discuss with customer in a courteous, professional mannerKnowledge and ability to review and explain previous accountsDemonstrates contribution and achievement of collection initiativesCustomer FocusEffectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty.Greets patients in a courteous and professional mannerCalls patients by nameAsks patients if they may have special needsData ErrorsReviews data and systems daily to ensure accuracyRequests additional education information when necessaryBalance Cash DrawerResponsible for daily reconciliation and balancing of cash deposit and reporting to treasurer.Other dutiesReviews data and systems daily to ensure accuracyRequests additional education information when necessaryCovers cashierAvailable to register patients, verify insurance and pre-cert/authorizations/notificationsRequirements:Education/SkillsHigh School DiplomaExperienceThree to five years Hospital Business Office or reimbursement/collectionsWork Schedule:5 Days - 8 HoursWork Type:Full Time