UnityPoint Health

  • Financial Counselor

    Requisition ID
    2018-51926
    Category
    Billing and Coding
    Location
    US-IA-Cedar Rapids
    Address
    1026 A Ave NE
    Affiliate
    1010 UnityPoint Health CR St Lukes Hospital
    City
    Cedar Rapids
    Department
    Patient Access
    State
    IA
    FTE
    1.0
    FLSA
    Non-Exempt
    Scheduled Hours/Shift
    11:00PM to 7:00AM
    Work Type (Portal Searching)
    Full Time Benefits
  • Overview

    POSITION SUMMARY

     

    The Financial Counselor assists with insurance coverage verification over the telephone with third party payers, including precertification requirements for all age groups of patients or guarantors. Assists customers with questions about their bills and provides financial assistance information.  The Financial Counselor interviews and counsels customers about all aspects of the patient accounting and registration process.

     

    This highly visible position must be aware of the importance and impact the position has on the hospital public relations. Positive human relations skills are necessary and required at all times.

    Responsibilities

    ESSENTIAL DUTIES AND RESPONSIBILITIES

     

    • Communicates when necessary with hospital intermediaries and other third parties to ensure prompt handling of hospital receivables.

     

    • Ensures the daily referral of accounts with no insurance benefits to Medical Social Services Medicaid Specialist for possible Medicaid coverage.

     

    • Must be familiar with the business community, state and federal intermediaries and charitable agencies to maximize recovery of patient revenue.

     

    • May register patients when necessary.

     

    • Ensures accurate registration and verification of patient information and updates patient information as approrpirate including precertification requirements.

     

    • Verifies insurance coverage eligibility and benefits via phone or internet.

     

    • Assists with precertification process upon admission as needed.

     

    • Calls physician offices to discuss individual cases when necessary.

     

    • Assists patients with the completion of financial assistance applications.

     

    • Interviews and counsels patients about all aspects of the patient accounting process.

     

    • Ensures complete documentation of all activities pertaining to patient accounts.

     

    • Communicates insurance changes to Care Coordinators, Precert       and social workers.

     

    • Must be knowledgeable concerning federal and state laws and regulations affecting business operations, involving collection of accounts receivables, insurance verification, claims processing, precertification, billing and reimbursement.

     

    • Is aware of hospital and department compliance requirements for federally funded health care programs (e.g., Medicare and Medicaid) regarding fraud, waste and abuse.   Brings any questions or concerns regarding compliance to the immediate attention of department or hospital administrative staff.

     

    • Purposefully conducts all aspects of the job in an ethical       manner in support of the hospital's commitment to ethical behavior in all areas of personal and professional activity.

     

    • Provides timely communication concerning physicians, accounts receivable problems or trends.

     

    • Assists in the collection and/or arrangement for payment on all self pay and co-pay for patients.

     

    • Enters charges and verifies hours for observation and/or ambulatory patient types.

     

    • Works with CBO in the gathering of data to maximize optimal reimbursement.

     

    • Serves as a reference to registration staff.

    Qualifications

    Education:

    • Must have high school diploma with some college preferred.

     

    Qualifications/Experience:      

    • Must possess excellent customer relations skills and have experience interacting with a variety of visitors, staff, physicians, patients, venders and other public coming into St. Luke's Hospital Must possess excellent customer relation skills and critical thinking skills.      
    • Experience with computer systems is required.
    • Medical terminology is preferred.
    • Must read, write and speak fluent English.

     

    Special Skills/Knowledge:      

    • Ability to establish positive relations with hospital associates, volunteers and community resources.

     

     

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