The Patient Financial Counselor is responsible for accurately and compassionately explaining to the
McKay-Dee Hospital patient's their financial obligations during the financial counseling session. In addition, the counselor must obtain any necessary pre-certifications or authorizations and assist with any financing or third-party applications. In this role, the successful candidate must display a strong sense of patient care and attention to detail.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Responsibilities:
- Explain financial responsibilities for services received, payment options and collection procedures to patients or parties responsible for payment. (will not collect any payments)
- Counsel patients regarding insurance benefits and recommend alternative sources of payment and financial assistance when appropriate.
- Contact insurance carriers or other sources and act as an advocate for the patient.
- Identify hospital, public and private financial assistance programs for patients unable to meet their financial obligations.
- Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in completing assistance program applications and determine eligibility and coverage.
- Notify manager, physician and servicing department of possible delay of service for any elective, urgent admissions, procedures and scheduled diagnostic testing which have not been approved prior to the date of service.
- Maintain accurate documentation of pre-processing information.
- Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency.
- Initiate process for collecting prepays due and perform follow up activity to insure maximum collection is achieved.
- Perform all other duties and projects as assigned.
Required Qualifications:
- High school diploma is required
- At least one year of strong customer service experience
- Attention to detail
- Ability to multi-task and navigate between multiple systems simultaneously to include phone
Desired Qualifications:
- Spanish Speaking Preferred but not required
- Previous experience as a financial counselor with background in medical terminology is a plus
- Understanding of State and Federal assistance is a plus
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