Patient Access Financial Counselor - Patient Access

Job Description

Interviews patients and/or family members to secure information concerning insurance coverage, eligibility, and qualification for various financial assistance programs.

Sets up patients and families for registration by obtaining missing information and completing registration items such as insurance cards, prescription cards, and correct demographic information.

Assesses the patient's need for financial assistance during the admission process or at a time prior to the patient's discharge.

Determines patient eligibility for charity care for inpatient/outpatient level of care and completes the charity application in accordance with NCH charity care policies.

Forwards applications to Patient Accounts for final review and approval.

Completes notes in the EPIC system on all discussions, events, and outcomes.

Responds to all inquiries regarding patient accounts and financial assistance policies.

Maintains effective communication and cooperative working relationships with other departments, staff, patients, and visitors.

Essential Functions

• Interviews patients and/or family members to secure information concerning insurance coverage, eligibility, and qualification for various financial assistance programs.
• Sets up patients and families for registration by obtaining missing information and completing registration items such as insurance cards, prescription cards, and correct demographic information.
• Assesses the patient's need for financial assistance during the admission process or at a time prior to the patient's discharge.
• Determines patient eligibility for charity care for inpatient/outpatient level of care and completes the charity application in accordance with NCH charity care policies.
• Forwards applications to Patient Accounts for final review and approval.
• Completes notes in the EPIC system on all discussions, events, and outcomes.
• Responds to all inquiries regarding patient accounts and financial assistance policies.
• Maintains effective communication and cooperative working relationships with other departments, staff, patients, and visitors.

Education Requirement

A high school diploma is required. An associates degree is preferred.

Licensure Requirement

(Not specified)

Certifications

(Not specified)

Skills

• Excellent customer service and communication skills.
• Ability to work and problem solve with minimal supervision.
• Analytical and decision-making skills with a strong attention to detail required.
• Ability to understand and retain complex and quickly changing information.
• Knowledge of the impact of managed care trends on hospital operations.
• Familiar with medical terminology.
• Able to function as a team member responsible for staffing operational hours.
• Ability to adapt to change positively in workflow and process.
• Keyboarding/typing/data entry skills.
• Experience in registration, collections, customer service, billing or related medical field, preferred.
• Familiarity with government, commercial and third-party billing, preferred.

Physical Requirements

• OCCASIONALLY: Chemicals/Medications, Climb stairs/ladder, Communicable Diseases and/or Pathogens, Lifting / Carrying: 0-10 lbs, Loud Noises, Pushing / Pulling: 0-25 lbs, Pushing / Pulling: 26-40 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking
• CONTINUOUSLY: Audible speech, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting
• Performed But Not Listed Above: Ability to multi-task within a stressful environment.

Additional Physical Requirements

None listed.