Financial Counselor / UR - Precertification Job at Perimeter Behavioral of Springfield
JOB TITLE: Financial Counselor | Business Office Liaison
DEPARTMENT: A & R
REPORTS TO: A & R Department. Dotted Line report to Corporate Revenue Cycle Manager
POSITIONS SUPERVISED: No direct reports.
FLSA STATUS: Non-Exempt
SUMMARY OF MAJOR AND ESSENTIAL FUNCTIONS:
- Represents the Hospital in financial matters pertaining to obtaining payment on patient accounts during pre-admission and inpatient phases of the patient's visit.
- Meets with Guarantor before or after Family Therapy sessions as needed.
- Acts as intermediary with Admitting, Central Business Office, patients and family members while the patient is hospitalized.
- Backs up Assessment & Referral Department with Insurance Verification process. Performs secondary verifications when necessary.
- Deal directly with patients and responsible parties to review costs, insurance coverage and payment requirements.
- Maintains the Upfront Collections Log.
- Identifies Estimated Patient Responsibility amount upon Admission, or shortly thereafter, and collects all copay, deductible, and coinsurance amounts.
- Revises Estimated Patient Responsibility at discharge.
- Meets with discharging clients to discuss Financial Obligations, collect estimated Client Responsibility amount, verify all Admission/Financial Paperwork has been completed, obtain copies of ID and Insurance Cards if necessary, and answer non-clinical questions pertaining to hospitalization.
- Maintains Financial Files for each admitted client.
- Effectively uses reporting tools to follow up on past due accounts.
- Responsible for following up on all Time Pay Arrangements
- Scans Financial/Admission paper work into HCS.
- Assists in completing Medicaid Application. Follows up with Guarantor to ensure Medicaid Application has been completed and submitted.
o Checks Medicaid eligibility at least weekly for those clients who have submitted Medicaid Applications.
- Completes Promissory Notes for clients who are unable to pay in full by the time of discharge.
- Processes refunds and payments as necessary, promptly responds to patient inquiries.
- Prepares supporting documentation for patient file upon write-off to bad debt or denial accounts.
- Serves as a Liaison with the Central Business Office (Alpharetta, GA) in responding to information requests related to claim denials or missing information that delays claim submission.
- Ensures client demographic and insurance information in HCS is accurate.
- Attends Revenue Cycle Department meetings as needed.
- Performs Daily Census Reconciliation to ensure Charge Capture process is accurate.
WORK DAYS /CORE HOURS: Monday – Friday, 8:00am-5pm
REQUIRED KNOWLEDGE, SKILLS AND EDUCATION
- High School Diploma or Equivalent required.
- Three to five years Financial Counseling, Hospital Revenue Cycle, and/or Collections/reimbursement experience required.
- MS Excel, Word, and Outlook proficiency required.
- Demonstrates excellent customer service techniques with effective verbal and written communication skills.
- Must be detail oriented and able to manage multiple tasks while working independently.
- Knowledge of HIPAA, Medicare regulatory compliance and medical terminology
Job Type: Full-time
Pay: $12.61 - $18.97 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
- On call
Ability to commute/relocate:
- Springfield, MO 65803: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Financial concepts: 1 year (Preferred)
Work Location: One location
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