Patient Financial Counseling Representative (Blue Sky Location)

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JOB SUMMARY:

This position is responsible for assisting and the follow up of patients that are seeking financial health care assistance through the various funding programs. Conduct face to face or phone interviews with patients to make eligibility determination and advice of potential eligibility status. Serve as direct contact / referral agent to proper counselor or agency for potential funding. This job requires interaction with admission staff, physicians, nurses, administration and various other departments and agencies. Documentation in various areas of hospital systems is required. This position is responsible for a work list that requires daily follow-up and completion. Typically required to do the following: Financially screen patients and educate on historical visit balances, payments and budget plans. Request and post deposits in hospital system and keep batches and cash drawer balanced at all times. Set-up pre-admit visits in hospital system and look up charges for various procedures.


Monday - Friday 8:00am - 5:00pm Offsite Blue Sky Location

JOB SPECIFIC RESPONSIBILITIES:

• Review/Interview of patients for funding/information
o ZG process and understanding of what to look for on each screen.
o Chart / File review
o Perform basic adult/child screening for patients.
o Review all referrals in a timely manner
o Update all demographic registration information
• Appropriate review, documentation and completion
o Appropriate completion of basic adult/child screenings
o Completion of Lexis Nexis and county appraisal district search for all LCMI cases and as
appropriate.
o Appropriate completion of ZF comments and/or SSI tracking system and Notes B
o Appropriate completion of various program applications (LCMI, VVC, MCD, CIHCP, SSI, etc.)
o Appropriate follow-up with program agencies, patients and others as appropriate for status
of applications, police reports, bills, extensions, denials, approvals, etc.
• Appropriate Process
o Correct use of review codes on work list
o Appropriate future review on work list
o Appropriate follow-up on work list
o Timely referrals to AC/RC
o Hold bill follow-up and correction
o ZE process
o TE process
o ZH process
• Appropriate Follow Up and Completion
o Work-list Admits, Referrals Requests for police reports, bills, etc. Request extensions as
appropriate. Request information and other agency f/u Filing of information, files, bills,
etc .Contacting hospitals/agencies

• Understanding and practice of:
o Federal, State, County & local programs
o Use of various eligibility systems (M-fax, CEI, TMHP, IDX-EL, etc)
o Be knowledgeable of all available resources and continue to stay abreast of updates and /
or changes to funding sources.
• Dependability
o Meets deadlines/get tasks/assignments done on time
o Performs additional duties when needed
o Follows through as expected and as agreed
o Successful interaction with all co-works and all other hospital employees
o Utilizes time appropriately when all work is completed
• Work next day accounts/files
• Assist co-workers
• Seek assignments from management
o Demonstrates acceptable punctuality in reporting to work and keeps attendance issues to a
minimum
o Follows & completes daily schedule requirements
o Resolves and/or defers situations which results in a favorable outcome when necessary or
when management is not available
• Appropriate cash processing.
o Daily reconciliation and deposit of cash.
o Open and close batches daily.
o Open/close and balance cash box daily.
o Posting cash and printing receipts.



EDUCATION AND EXPERIENCE:

• High school graduate or equivalent
• Minimum of one year business office atmosphere with customer service experience and
preferably county, state and federal health care program knowledge.


SKILLS AND ABILITIES: