Financial Counselor
Company: Cibola General Hospital
Location: Grants
Posted on: November 19, 2024
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Job Description:
JOB SUMMARY:
Please ensure you read the below overview and requirements for this
employment opportunity completely.
Under the direction of the Patient Financial Services Director,
Financial Counselor is responsible for providing patients with a
positive financial experience by helping patients navigate and
understand insurance benefits and potential financial liability.
Financial Counselors are the patient's point of contact for
financial assistance questions. The Financial Counselor collects
payments, sets up payment arrangements as appropriate, creates
estimates, advises patients in person and over the phone on their
insurance benefits and coverage, and in some cases, assesses
patient referrals for appropriateness. The Financial Counselor
assists patients with eligibility for government programs, Cibola
General Hospital's financial assistance program, and other options
for managing high medical liabilities.
PRIMARY FUNCTIONS:
1.Serves as the point of contact for all financial assistance
related questions.
2.Communicates with patients to identify and understand financial,
social, and medical histories and other relevant patient
information
3.Gathers all relevant information required to process financial
assistance requests; including but not limited to working with
providers on treatment plans, best practices, and related necessary
medical opinions.
4.Documents all communication and follow up in the EMR and send
written confirmation to patient regarding payment arrangements, etc
as applicable.
5.Assesses the current financial situation of patients through the
verification of patient insurance benefits; serving as the
technical expert in confirming patients benefit coverage and
hospital reimbursement:
6.Determine the patient's financial ability to pay and explain
insurance coverage and benefits to the patient. o
7.Initiate the financial screening process as appropriate to
evaluate eligibility for assistance programs.
8.Assist the patient in completing financial statements and
gathering supporting financial documentation. o
9.Complete the referral pattern for patients with financial
risk
10.Determine eligibility for care at CGH by assessing patient
eligibility for Medical Assistance, Emergency Medical Assistance,
Community Programs, and Government Programs:
11.Assess and offer payment alternatives which may include
prepayment for elective care,and applying for CGH's financial
assistance program.
12.Identify eligible financial programming options and assist in
completing all necessary documentation for specific federal, state,
or CGH financial assistance programs
13.With provider involvement, determine urgency of scheduled care
for patients with large financial liabilities resulting in either a
decision to proceed, hold, reschedule, etc.
14.Explain CGH's payment policy to patients if a program is not
available to assist with payment.
15.Calculate and explain any patient liability before or at the
time of service.
16.Counsel patients on out of pocket liabilities and collect
deductibles, pre-payments, and outstanding balances following
established collection procedures; or alternatively, create a
payment plan with the patient and document the agreement
appropriately.
17.If unable to establish acceptable payment arrangements for
elective procedures, inform provider and patient that services will
be rescheduled or cancelled.
18.Communicate financial coverage status and applicable financial
decisions with all appropriate parties: patient, family, referring
clinicians, and CGH clinicians.
19.Assists with the maintenance of self pay accounts, initiates
collection procedures when appropriate and sends out letters to
patients regarding the status of the accounts; places accounts in
the financial class needed before the account goes to collections
if patients do not respond to calls and letters.
20.Pursues and participates in education opportunities to remain
current with changes in the Healthcare industry
21.Promotes effective working relations and work effectively as
part of a team to facilitate the department's ability to meet its
goals and objectives.
22.Demonstrates respect and regard for the dignity of all patients,
families, visitors, and fellow employees to insure a professional,
responsible and courteous environment.
23.Attends on-site/off-site community engagement activities and
on-site/off-site clinic events as needed.
24.Performs other duties as assigned.
EDUCATION / EXPERIENCE REQUIRED
1.High School Diploma / GED Required
2.Associate degree preferred.
3.Two years' experience in healthcare Revenue Cycle preferred.
4.Experience in providing high level of customer service.
5.Excellent organization and time management skills along with
excellent oral and written communication skills.
6.Strong team player
7.Ability to learn quickly, build and maintain long term
relationships and work with minimal supervision.
8.Proficient computing skills.
9.High-level of accuracy and attention to detail, flexibility, and
ability to attend to competing priorities in an effective and
timely way, and prioritize effectively in team environment.
KNOWLEDGE, SKILLS AND ABILITIES
ADDITIONAL QUALIFICATIONS
RELATIONSHIP REPORTING
PHYSICAL REQUIREMENTS
PI3282fd07714a-36310-34678820
Keywords: Cibola General Hospital, Rio Rancho , Financial Counselor, Accounting, Auditing , Grants, New Mexico
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