FINANCIAL COUNSELOR-3
Location: Nogales Arizona
Description: Carondelet Health Network is hiring FINANCIAL COUNSELOR-3 right now, this occupation will be placed in Arizona. Detailed specification about this occupation opportunity please give attention to these descriptions. Under general supervision, the Financial Counselor is responsible for financial assessment, securing a payer source, and coordinating the establishment of payment arrangements for all patients.
POSITION DUTIES: Overall Rating *
Level 1 â€" Skilled
1.1 Identify uninsured or underinsured patients; evaluate options for repayment based upon available resources.
1.2 Interview patient and/or patient’s family before, during and after patient’s hospital visit.
1.3 Assist in establishing payment sources through state/federal programs, working in conjunction with County AHCCCS eligibility workers and/or working with any contracted vendor which assists in the AHCCCS eligibility process.
1.4 Monitor and resolve potential problem accounts by using hospital established protocol.
1.5 Research and calculate cost estimates for inpatients that have partial or no insurance coverage benefits. Communicate charges to patient/family member. Collect deposits and arrange for payment on account balance.
1.6 Monitor patient account activity as directed by registration staff, Patient Representative, Social Work Department, Quality Review Management, and other internal sources.
1.7 Responsible for financial assessment of foreign national patients.
1.8 Confirm attorney involvement in accident liability cases and obtain additional documentation as needed to facilitate filing of hospital lien and assures proper processing of accounts when settlements are reached.
1.9 Calculate estimated surgery/procedure charges for patients with partial or no insurance and assess patient responsibility.
1.10 Arrange for payment of all patient charge estimates for elective services prior to arrival. Collect deposit and arrange for payment on accounts.
1.11 Review uninsured patient’s financial situation. Complete patient financial advocacy and evaluate to identify potential payer source. If payer source is not identified, coordinate financial arrangements and collect deposit from patient.
1.12 Make decisions regarding discounts/charity eligibility.
1.13 Prepare and complete adjustment process for eligible patients. Ensure all appropriate
authorizations are obtained and submitted for authorization following departmental guidelines. 1.14 Respond to inquiries from patient, patient’s family, and/or other patient representatives regarding charges, insurance, and financial information.
1.15 Meet with patient and/or patient family members to answer questions regarding charges on their account.
1.16 Identify and collect patient residuals, co-pays, prior balances, and/or self-pay deposits. Arrange and secure contracts when guarantor is unable to pay in full.
1.17 Review all admissions information to ensure accurate demographic data, signatures, financial information and diagnosis have been obtained and properly entered into necessary hospital applications.
1.18 Perform other related duties as assigned or requested.
Level 2 â€" Proficient (in addition to above duties)
2.1 Demonstrate an ability to prioritize tasks according to urgency. Exhibit and maintain an ability to manage time and multitask effectively. 2.2 In order to expand professional knowledge and personal growth, participate collaboratively in a personal and team work environment to ensure quality delivery and improvement processes.
2.3 Ensure proper documentation in necessary computer systems and applications and maintain files for reference as necessary.
Level 3 â€" Subject Matter Expert (in addition to above duties)
3.1 Participate in quality improvement measures within the department.
3.2 Assist in training of new employees as assigned and provide support in revising policies and procedures.
3.3 Prepare and supply patient data to various hospital departments.
POSITION COMPETENCIES: (All competencies identified in this document are essential to the satisfactory performance of the position by any/all incumbents, with reasonable accommodation, if necessary.)
1. Support and fulfill the mission of Carondelet Health Network.
Understand, interpret, and model the values of CHN. Clearly and consistently communicate these values to staff and all others with whom we work; ensure that the specific environment vision is in alignment with CHN’s mission and values.
2. Support and participate in achieving Carondelet's Strategic Vision.
Contribute to the development, implementation and promotion of the entity’s strategic plan and the departmental/unit program or operational plans aligned with the Network’s Strategic Vision. Identify opportunities to achieve the vision and participate in the development and implementation of unit objectives and action plan tasks. Respond to organizational changes required to achieve strategic objectives.
3. Maintain technical skills and knowledge in order to ensure optimum service, documentation, and record keeping.
Demonstrate/apply knowledge of standard office equipment (i.e. phone, fax, and copier). Retain knowledge of computer systems and their applications relevant to the specific environment. Utilize appropriate medical terminology of the specific environment and medical terminology to complete the processes required by Federal and State regulations (i.e. ABN, etc).
4. Provide support and contribute to a positive work environment.
Exhibit patience and understanding when interacting with others. Demonstrate efficiency and dependability in performance of overall job tasks. Function as a team player through cooperation, willingness, and flexibility. Present with a friendly and pleasant attitude as well as appropriate personal hygiene and appearance. Attend all hospital and departmental meetings as directed.
5. Provide outstanding customer service and maintain customer satisfaction.
Respond to needs of internal and external customers in a timely and efficient manner. Demonstrate and apply knowledge of policies and procedures including scheduling, coding, billing and insurance regulatory components and payer specifications, as applicable. Communicate in a professional and positive manner. Uphold confidentiality of customer information at all times. Demonstrate ability to prioritize operations of the specific environment, as an advocate for customer needs. Interface with Clinical units to ensure a smooth revenue cycle process.
6. Cultivate the environment’s growth and development through innovation and improvement of processes.
Demonstrate knowledge of resources specific to the position or environment. Exhibit creativity in problem solving and/or trouble shooting. Employ a willingness to seek out and learn new methods of performance appropriate to position. Function independently with minimal supervision.
7. Maintain a safe, functional, supportive and effective environment for all associates, patients, customers and other individuals utilizing CHN facilities.Identify the location of Hazardous Communication Manual(s), Material Safety Data Sheets (MSDS), and Emergency Preparedness Manual. Follow all emergency and safety policies and procedures of CHN. Meet SLP annual requirements. Respond with appropriate phone numbers to report emergencies.
POSITION SPECIFICATIONS AND QUALIFICATIONS:
Relationships:
Ongoing interface and communication with customers, employees, and management. Establishes collaborative relationships with key customers.
Dimensions:
Based in Admitting Department, reporting to Admitting Supervisor/Manager of particular facility. Incumbent has routine contact with hospital staff at all levels including, but not limited to, Nursing, QA/UR, physicians, patients, and family members.
Normal duties
POSITION REQUIREMENTS:
Education
Required: High School Diploma or General Education Diploma (G.E.D.)
Preferred: College level coursework.
Licensure
Required:
Preferred:
Certificates
Required:
Preferred:
Experience
Required: 2 years related experience
Preferred: 3+ years related experience, 1 years supervisory
Skills
Required: Understanding of financial counseling required. Good written and verbal communication skills.
Preferred:
Knowledge
Required: Demonstrated knowledge in evaluating customer financial status and options for payment process which may include insurance and government program reimbursement.
Preferred: Knowledge of admissions process in a healthcare environment. Demonstrated knowledge of medical terminology.
Technology
Required: Basic computer skills
Preferred: Advanced computer skills, technology of the specialty
Other
Required: Ability to work variable shifts.
Preferred:
Any equivalent combination of education, training and/or experience that fulfills the requirements of the position will be considered.
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Carondelet Health Network.
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This occupation starts available on: Fri, 13 Jul 2012 07:05:41 GMT