Financial Counselor

Primary Function:

The Financial Counselor advises patients in all matters dealing with payment for hospital services. Serves as a resource for hospital staff and external contacts regarding policies, procedures and forms related to financial requirements for hospital services. Provides assistance with other department activities as needed.

Standards:

• Courteously meets with patients and families regarding financial obligations
• Assess patient’s eligibility for CNE Charity Care, payment arraignments, health insurance opportunities, etc.
• Hold State of RI Navigator License, will train
• Assist patients in resolving all open accounts
• Conduct follow up, resolve issues in a timely manner
• Serve as a resource for hospital staff and external contacts regarding policies, procedures and forms related to financial requirements for hospital services
• Verifies third party sponsorship eligibility through online resources
• Documents information accurately in the hospital financial and information systems
• Obtains billing information and complete necessary work to ensure that information will be delivered to the correct biller

• Explain financial requirements and insurance/third party payor hospitalization benefits to the patient or responsible party
• Interpret and provide information regarding patient’s copayment responsibilities and any applicable coinsurance, deductible and lifetime maximums
• Collection of patient liabilities
• Apply appropriate Community Benefit and Prompt Pay discounts as applicable
• Meet with patients who are Medicare exhausted and evaluate for additional payment source
• Follow up on missing insurance/financial forms
• Effectively verifies accuracy of prepared material prior to submittal or distribution
• Completes required request for reports in a timely manner, prioritizing workload

Specifications:

• High School required; Bachelor's preferred and a minimum of two years of hospital finance experience required.
• State of RI Navigator Certification preferred. (will train)
• Must possess excellent human relations and communications skills.
• Knowledge of personal computers and strong analytical skills required.
• Position requires scheduling flexibility and the ability to work in a fast paced clinical setting.
• Occasional travel necessary.
• Proficiency in the Englis