Financial Care Counselor- Duke Lake Norman

Job Summary

Accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include but not limited to pre-admission, admission, pre-registration and registration functions. Ensure all insurance requirements are met prior to patients' arrival and inform patients of their financial liability prior to arrival for services. Arrange payment options with the patients and screens patients for government funding sources. This person will be over the infusion scheduling, registration, pre registering and back up to the Ambulatory Surgery Center.

Hours

Full-time hours 7:30am to 4pm M-F.

Work Performed

• Analyze insurance coverage and benefits for service to ensure timely reimbursement.
• Obtain all Prior Authorization Certification and/or authorizations as appropriate.
• Facilitate payment sources for uninsured patients.
• Determine if patient's condition is the result of an accident and perform complete research to determine the appropriate source of liability/payment.
• Admit, register and pre-register patients with accurate patient demographic and financial data.
• Resolve insurance claim rejections/denials and remedy expediently.
• Calculate and collect cash payments appropriately for all patients.
• Reconcile daily cash deposit.
• Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy.
• Compile departmental statistics for budgetary and reporting purposes.
• Explain bills according to PRMO credit and collection policies.
• Implement appropriate collection actions and assist financially responsible persons in arranging payment.
• Make referral for financial counseling.
• Determine necessity of third party sponsorship and process patients in accordance with policy and procedure.
• Examine insurance policies and other third party sponsorship materials for sources of payment.
• Inform attending physician of patient financial hardship.
• Complete the managed care waiver form for patients considered out of network and receiving services at a reduced benefit level.
• Update the billing system to reflect the insurance status of the patient.
• Refer patients to the Manufacturer Drug program as needed for medications.

Knowledge, Skills And Abilities

• Excellent communication skills, oral and written.
• Ability to analyze data, perform multiple tasks and work independently.
• Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers and supervisors.
• Must be able to understand and comply with policies and procedures.

Level Characteristics

Position responsible for high production generated accurately in accordance with established business processes or regulation. Requires working knowledge of compliance principles.

Minimum Qualifications

• Education: Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred.
• Additional training or working knowledge of related business.
• Experience: Two years experience working in hospital service access, clinical service access, physician office or billing and collections. Or, an Associate's degree in a healthcare related field and one year of experience working with the public. Or, a Bachelor's degree and one year of experience working with the public.