Financial Counselor

About the role

This position is located on-site at the Dignity Health Yavapai Regional Medical Center (West Campus) location in Prescott AZ. 1003 Willow Creek Road Prescott Arizona 86301

Responsibilities

• Meets with patients regarding account balances for inpatient, emergency and outpatient services and conducts interviews with patients or responsible individuals to determine financial status and eligibility for insurance enrollment and/or financial assistance programs.
• Assists patients via telephone and/or written response regarding account/claim status inquiries. Responds professionally and within appropriate timeframes to all inquiries.
• Collections:
• Collects accurate payment amounts and posts payments in the appropriate system.
• Processes credit card payments on the appropriate terminal.
• Delivers an accurate day end deposit and reconciliation sheet with all out of balance issues resolved within one (1) business day.
• Financial Assistance:
• Reviews program guidelines and assists patients or responsible individuals with financial assistance applications. Gathers required documentation and processes applications in accordance with hospital policy.
• Analyzes financial information to determine eligibility and level of discount. Mails out financial assistance letters and applications to patients as needed.
• Ensures collection of self-pay accounts not paid at time of discharge, until such time they are either paid in full or referred to outside collectors. Follows established collection procedures including written correspondence and/or telephone calls.
• Reviews past due bills and follow-up documentation in an efficient and thorough manner, ensuring accuracy and completeness of account information. Assists in reconciling accuracy with outside vendors.
• Generates bills or re-bills claims to insurance companies. Conducts timely follow up with insurance companies regarding claim processing and payment status.
• Affords patients in establishing payment or settlement plans in accordance with the payment plan policy.
• Affords patients in enrollment of qualifying patients in AHCCCS and/or other insurance programs.
• Other Duties:
• Participates in business division meetings, performance improvement activities and committees as assigned.

Requirements

• High School graduate or GED
• One year of hospital or clinic insurance billing or collection experience
• One year of healthcare customer service experience; hospital business office preferred
• General knowledge of charity, bad debt and collection procedures
• Certified Application Counselor certification obtained within six months of hire
• Basic knowledge and understanding of State Medicaid program
• Excellent interpersonal skills and the ability to effectively communicate verbally and in writing providing excellent customer service
• Excellent organizational skills and the ability to handle multiple priorities/tasks simultaneously in a fast paced environment
• Ability to maintain acute attention to detail
• Basic computer literacy and proficiency in Microsoft Windows
• Basic proficiency with MS Office (Outlook, Word, Excel)