Financial Counselor

FLSA Employment Status:

Nonexempt/Hourly

JOB SUMMARY

Develops and facilitates payment plans for patients to finance medical expenses by coordinating between insurer, third party payer and patient.

Reporting Structure:

Director of Revenue Cycle

MINIMUM QUALIFICATION REQUIREMENTS

Education High School Diploma required. Work Experience Must have six (6) months experience in patient registration and/or billing and collections. Hospital account collections or billing experience preferred.

License/Certification:

N/A CORE COMPETENCIES

Mission, Vision Core Values/Standards of Conduct AIDET/Organizational Expectations Safety Quality Flexibility Customer Service Diversity and Inclusion Finance Abuse and Neglect of Adult Patient Abuse and Neglect of Pediatric Patient Acute Coronary Syndrome/Chest Pain Protocols Biohazard Waste CC Hand Hygiene

JOB SPECIFIC CORE COMPETENCIES

Skills, Knowledge, Abilities, Behavior Knowledge of medical insurances (Medicare, HMO's, PPO's, commercial), EMTALA regulations, hospital billing and collection process Familiarity with medical billing practices, insurance coding and customer service Math, basic computer use and written communication Medical terminology knowledge Typing speed: minimum 40 wpm, computer knowledge Hospital Presumptive Eligibility Credit card and Check machines Auto Dialer Knowledge of

CPT / ICD-10

coding helpful

ESSENTIAL FUNCTIONS

Confirms level, terms of coverage, and benefit limits with health insurance providers. Advises patients of any alternative sources of funding or assistance available from social service agencies. Prepares and files any documentation needed to complete payment arrangements. Has general knowledge of insurance terms and practices. Reviews insurance and costs of procedures with patients before admitting them to the hospital. Takes patient payment is in cash, the financial counselor may also collect the payment and update the patient billing records. Assists patients with financial referrals and payment resources Reviews daily IP, ER, Surgery and OP admissions that are Private Pay Responsible for financially clearing patients at ER, hospital bedside or OP registration to obtain cash payment or determine eligibility for various governmental programs. Conducts interview with patients and / or family members Notifies hospital case management, social services and admission staff of case screening determinations and outcomes via verbal and written communications Calculates and collects cash payments appropriately for all patients Advises self-pay patients of their medical options available in the community for future follow-up care Participates in data gathering for financial reporting Sets up arrangements / monthly installment plans for patients to payoff balances within the guidelines of HMC collection policy.

OTHER DUTIES

May arrange for referrals or second opinions. Assists in registering patients or admitting patients when needed. Performs other duties and special project work as required.

PHYSICAL DEMANDS

This job operates in a professional office environment. This role routinely uses standard office equipment. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; talk or hear. The employee must occasionally lift or move office products and supplies, up to 20 pounds. Must be able to see with corrective eye wear Must be able to hear clearly with assistance May be exposed to infectious and contagious diseases May be in contact with patients under a variety of circumstances Able to handle emergency or crisis situations May be occasionally subject to irregular work hours May be required to wear protective equipment as necessary Ability to pass all required health and other screening tests including random and reasonable suspicion drug

PHYSICAL ABILITIES AND REQUIREMENTS

Activity Occasionally (1-33%) Frequently (34% to 66%) Continuously (67% to 100%) Sitting X Walking X Standing X Bending X Squatting X Climbing X Kneeling X Twisting X Lifting X Carrying X Pushing X I, (Print Name) ________________________________________________________have received a copy of this job description. The following signature indicates that I have read and understand all aspects of the job description, and I assert that I am not aware of any reason that would prevent me from performing all job responsibilities under the conditions described. Further, my signature indicates that, upon accepting employment at HMC, I agree to perform the job duties as listed in this job description and all other duties as required. Employee Signature_________________________________________Date_____________