Financial Counselor - Full Time, Days
Company: Guidehouse
Location: Birmingham
Posted on: October 22, 2024
Job Description:
Job Family:Admitting RepresentativeTravel Required:NoneClearance
Required:NoneWhat You Will Do:The Financial Counselor is
responsible for program eligibility and POS payments for patients
receiving or who have received services at the facility. This
position estimates patient liability for services rendered and
communicates with patients regarding financial responsibility.
Patient portions due, are to be collected before patient discharge.
The Financial Counselor is also responsible for screening patients
for program eligibility and communicating with Guidehouse such
findings. The Financial Counselor is also responsible for assisting
patients with the completion of applications. This position will
also assist in coordinating efforts between the patients, hospital,
doctors and third-party agencies to obtain info needed eligibility
process. - Must accurately collect and input patient eligibility
and status information into the system. Financial Counselor is
responsible for multitasking to ensure the processes and follow
through with the patient and other involved parties are completed
daily or weekly.Location: UAB Highlands Main AdmittingShift: Full
Time, Days, Monday - FridaySchedule: 8:00am - 4:30pmPlease note:
This schedule is subject to change based on hospital census and the
needs of the business. -Essential Job Functions
- Effective verbal / written communication skills
- Proficient, Strong Organizational Skills
- Customer Service/Public and Patient Relations
- Account Review/Analysis
- Data Input and Account Accuracy
- Knowledge Government programs
- Patient eligibility screening
- Report Development and Maintenance
- High level of productivity
- Ability to work independentlyDuties and Responsibilities
- Determines patient responsibility and eligibility through
Insurance, Federal, State, and/or County government benefits.
- Reviews accounts for proper plan codes, financial class, and
patient type.
- Contacts appropriate agencies to verify assumptions of
liability.
- Investigates alternate payment sources for self-pay patients.
Negotiates flat rates on accounts where the patient has no linkage
to government programs.
- Does bedside with patients and informs them of financial
responsibility prior to discharge.
- Sets up payment plans with patients prior to discharge and
documents payment arrangements in patient accounting systems.
Provides patient with mailing envelops and payment dates before
discharge.
- Collects monies from patients when there is an estimated
patient liability due on the account.
- Monitors Medicare days and co-insurance days on in-house
patients. Reviews all in-house Medicare accounts on the 1st and
15th of each month. Updates account with Eligibility info in
detail. -
- Represents the patient(s) at Medicaid or SSI fair
hearings/appeals.
- Interviews uninsured patients for eligibility in Federal, State
and County assistance programs prior to discharge.
- Completes Financial Assistance Applications or Charity
Applications with uninsured and/or underinsured patients prior to
discharge. Completes application and attests to the accuracy of the
information by signing the application.
- Interfaces with facility Social Services and Case Management
Departments regarding inpatient admissions and discharges.
- Documents all payer and patient financial information in the
hospital computer system.
- Responsible for the retrieval of Inpatient Census patient
information within the facility to follow up on In House patients
no insured or under insured.
- Obtains complete and accurate patient information including
possible insurance(s), and financial information by communicating
with patients, family members, and physicians regarding their
stay.
- Follow up with patients and agencies to ensure eligibility for
date(s) of service.
- Educates patients on eligibility status and needs to obtain
eligibility.
- Manages a group of accounts daily in accordance with hospital
standards. Ensuring accounts that have had a financial application
have been approved or denied or accounts pending eligibility have
been approved or denied.
- Communicates daily with co-workers, hospital and management in
regard to account progress and/or other issues.
- Utilizes organization and prioritization skills in their daily
tasks. Utilizes time management skills to ensure completion of
daily processes.
- Must maintain open and positive professional communication
orally and written at all times.
- Should not at any time indicate or suggest to the patient that
they will be relieved of the debt by the way of a write-off to
charity care until the determination has been made.
- Assist all walk-in patients with liquidation options on
accounts.
- Demonstrates the ability to secure patient cooperation and
participation in the eligibility process and acting as their
authorized representative assists in completing and submitting
required documentation to Medicaid eligibility department.
- Conducts home visits as needed or required.
- Performs all related job duties as assigned.What You Will Need:
- High School Diploma or GED
- 1 year of experience working in Patient Registration,
Eligibility, Insurance Verification, or a medical office
environmentWhat Would Be Nice to Have:
- Medical terminology, data entry, prior admitting, entitlement,
business office or physician office experience preferred.
- Bilingual (English/Spanish) preferred.
- Healthcare background preferred.
- Knowledge of MS4 helpful.
- Working knowledge/experience of Federal, State and County
eligibility programs.#IndeedSponsoredWhat We Offer:Guidehouse
offers a comprehensive, total rewards package that includes
competitive compensation and a flexible benefits package that
reflects our commitment to creating a diverse and supportive
workplace.Benefits include:
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Position may be eligible for a discretionary variable incentive
bonus
- Parental Leave
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible
Spending Accounts
- Short-Term & Long-Term Disability
- Tuition Reimbursement, Personal Development & Learning
Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare ProgramAbout GuidehouseGuidehouse
is an Equal Employment Opportunity / Affirmative Action employer.
All qualified applicants will receive consideration for employment
without regard to race, color, national origin, ancestry,
citizenship status, military status, protected veteran status,
religion, creed, physical or mental disability, medical condition,
marital status, sex, sexual orientation, gender, gender identity or
expression, age, genetic information, or any other basis protected
by law, ordinance, or regulation.Guidehouse will consider for
employment qualified applicants with criminal histories in a manner
consistent with the requirements of applicable law or ordinance
including the Fair Chance Ordinance of Los Angeles and San
Francisco.If you have visited our website for information about
employment opportunities, or to apply for a position, and you
require an accommodation, please contact Guidehouse Recruiting at
1-571-633-1711 or via email at . All information you provide will
be kept confidential and will be used only to the extent required
to provide needed reasonable accommodation.Guidehouse does not
accept unsolicited resumes through or from search firms or staffing
agencies. All unsolicited resumes will be considered the property
of Guidehouse and Guidehouse will not be obligated to pay a
placement fee.
Keywords: Guidehouse, Birmingham , Financial Counselor - Full Time, Days, Accounting, Auditing , Birmingham, Alabama
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