Financial Counselor

Purpose of Position

Reviews patient accounts to identify and assist any patient in qualifying for and obtaining health care assistance/coverage when no other payer source is available with the goal of maximizing reimbursement for services.

Responsibilities

• Coincides and works with the FCC staff to Identify, review, and monitor all pre-admissions, admissions, and encounters with potential financial concern.
• Discusses and determines financial arrangements for patient care encounters and provides charge estimates during pre-admission screening.
• Determines and tracks deductible amounts for Health Safety Net and determines if a claim can be submitted to the HSN. Works these accounts accordingly in all necessary systems.
• Explains and processes payments from patients, which may include but not limited to co-pays, co-insurance, and deductibles.
• Fulfills department procedures related to securing payment information, providing patient receipts and reconciling daily receipts.
• Establishes payment arrangements for unpaid co-pays, deductibles, and self-pay accounts as allowed under the policies and procedures of the Fiscal Department.
• Identifies accounts eligible for Medicaid, Health Safety Net, Section 1011, agency grants, etc., or other assistance programs. Distributes and assists in completion of applications for federal, state, local, or financial assistance programs.
• Maintains database showing productivity, application outcomes, type of application and other statistics as may be deemed by department director.
• Collaborates with Case Management to ensure Long Term Care and disability applications are processed accurately and in a timely manner.
• Maintains a professional atmosphere, being sensitive to commitment to superior guest services. Respects patient’s right to privacy as mandated by the Patient’s Bill of Rights. Responds to requests in a friendly, cooperative manner.
• Operates as a team with coworkers by approaching relationships in a manner which reduces conflict.
• Remains current with a working knowledge of the patient registration and billing system.
• Participates in educational programs, in-service meetings and workshops provided and as approved.
• Identifies operational and procedural issues, problems, and errors and constructively participates, on an ongoing basis, in development and implementation of solutions.
• Performs other similar and related duties as required or directed by management.
• Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service.

Qualifications

• Ability to read, write and communicate in English at the level of a high school graduate.
• Successful passage of state mandated CAC training within 2 weeks of hire.
• Formal education equivalent of a high school diploma is required. College experience preferred.
• Three years experience in one of the following revenue cycle functions - medical billing or collections, patient access or medical secretary required OR equivalent of two years direct patient financial counseling experience required.
• Demonstrated knowledge of medical benefits programs, eligibility criteria and community resources.
• Basic math skills and ability to apply skills as demonstrated by successful completion of a timed business math test using manual and calculator-aided computations to solve problems.
• Successful completion of Medical Terminology course or successful passage of Medical Terminology challenge exam.
• Basic Microsoft Office computer skills required.
• Minimum of one year experience with Meditech, Soarian Financials or similar information system.
• Must have excellent communication skills and demonstrated sensitivity to patient concerns regarding inability to meet financial responsibilities.

Schedule Details

40 hrs per week, Rot. Shifts, 7a-3p, 8a-4p, or 9a-5p, No Weekends & No Holidays

Organization

Cape Cod Hospital

Primary Location

Massachusetts-Hyannis

Department

CCH-Patient Access