Counselor: II-Financial-M

About the role

Works closely with Nursing, Ancillary, Scheduling, Case Management, Social Workers, Managed Care.

Responsibilities

• Utilizes appropriate reports to contact insurance payers, verifying benefits and obtaining necessary authorizations.
• Documents authorization and benefit information in registration system.
• Work with payors to resolve accounts that are pending or denied.
• Performs appropriate pre-registration functions including calling physician offices, insurance payers and the patient/guarantor, as necessary.
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information.
• Explains necessary forms and obtains signatures from patient/guarantor.
• Maintains departmental logs for statistical reporting.
• Works departmental reports as assigned.
• Screens patient/guarantor for federal, state, county or other assistance programs and completes necessary forms and applications per facility guidelines.
• Follows Patient Financial Services self-pay policies including self-pay fee schedules, completion of Medical Assistance and Charity Care Application, explanation of payment options and collections of monies due.
• Identifies customer service issues and resolves or initiates necessary follow-up.

Requirements

• Minimum Education and Experience Requirements: Education includes High School Diploma or GED, Bachelor’s Degree or Master’s Degree (Specify field).
• Experience: Only years of experience in a particular setting, e.g., "5 years of experience in a doctor’s office required."
• Education AND Experience: High School diploma or equivalent, Two (2) years’ experience in a financial, business office, or customer service environment required. One Year Hospital Business Office Experience Required.
• Demonstrated computer skills (including Microsoft Word and Excel).
• Working Knowledge of ICD9 coding and medical terminology.
• Able to work with minimal supervision.
• Well organized, self motivated individual with a positive attitude.
• Excellent customer service skills.
• Able to work effectively with all payor and hospital personnel.

Qualifications

None specified in the job description.

Skills

Not specified in the job description.

Benefits

Not specified in the job description.

Pay

Not specified in the job description.

Schedule

Workday Day (United States of America)

Worker Sub Type Regular Employee

Entity Albert Einstein Medical Center

Primary Location Address 559 W. Germantown Pike, East Norriton, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value.

Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.

Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region.

Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.