Patient Financial Counselor - Hospital Onsite - Part Time - Day Shift

Job Family:

Admitting Representative

Travel Required:

None

Clearance Required:

None

What You Will Do:

The Financial Counselor is responsible for program eligibility and POS payments for patients receiving or who have received services at the facility. This position estimates patient liability for services rendered and communicates with patients regarding financial responsibility. Patient portions due, are to be collected before patient discharge. The Financial Counselor is also responsible for screening patients for program eligibility and communicating with Guidehouse such findings. The Financial Counselor is also responsible for assisting patients with the completion of applications. This position will also assist in coordinating efforts between the patients, hospital, doctors and third-party agencies to obtain info needed eligibility process.  Must accurately collect and input patient eligibility and status information into the system. Financial Counselor is responsible for multitasking to ensure the processes and follow through with the patient and other involved parties are completed daily or weekly.

Position based at UAB Main Admitting.

Schedule for this full-time position is Monday through Friday from 5:00 AM - 11:30 AM CT.

 

Essential Job Functions

• Effective verbal / written communication skills

• Proficient, Strong Organizational Skills

• Customer Service/Public and Patient Relations

• Account Review/Analysis

• Data Input and Account Accuracy

• Knowledge Government programs

• Patient eligibility screening

• Report Development and Maintenance

• High level of productivity

• Ability to work independently

Duties and Responsibilities

• Determines patient responsibility and eligibility through Insurance, Federal, State, and/or County government benefits.

• Reviews accounts for proper plan codes, financial class, and patient type.

• Contacts appropriate agencies to verify assumptions of liability.

• Investigates alternate payment sources for self-pay patients. Negotiates flat rates on accounts where the patient has no linkage to government programs.

• Does bedside with patients and informs them of financial responsibility prior to discharge.

• Sets up payment plans with patients prior to discharge and documents payment arrangements in patient accounting systems. Provides patient with mailing envelops and payment dates before discharge.

• Collects monies from patients when there is an estimated patient liability due on the account.

• Monitors Medicare days and co-insurance days on in-house patients. Reviews all in-house Medicare accounts on the 1st and 15th of each month. Updates account with Eligibility info in detail. 

• Represents the patient(s) at Medicaid or SSI fair hearings/appeals.

• Interviews uninsured patients for eligibility in Federal, State and County assistance programs prior to discharge.

• Completes Financial Assistance Applications or Charity Applications with uninsured and/or underinsured patients prior to discharge. Completes application and attests to the accuracy of the information by signing the application.

• Interfaces with facility Social Services and Case Management Departments regarding inpatient admissions and discharges.

• Documents all payer and patient financial information in the hospital computer system.

• Responsible for the retrieval of Inpatient Census patient information within the facility to follow up on In House patients no insured or under insured.

• Obtains complete and accurate patient information including possible insurance(s), and financial information by communicating with patients, family members, and physicians regarding their stay.

• Follow up with patients and agencies to ensure eligibility for date(s) of service.

• Educates patients on eligibility status and needs to obtain eligibility.

• Manages a group of accounts daily in accordance with hospital standards. Ensuring accounts that have had a financial application have been approved or denied or accounts pending eligibility have been approved or denied.

• Communicates daily with co-workers, hospital and management in regard to account progress and/or other issues.

• Utilizes organization and prioritization skills in their daily tasks. Utilizes time management skills to ensure completion of daily processes.

• Must maintain open and positive professional communication orally and written at all times.

• Should not at any time indicate or suggest to