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Form of work Description
El Dorado Springs, owned and operated by Lifepoint Behavioral Health, seeks passionate, patient-centric, and goal-oriented team members to join the team at our Behavioral Health facility. We specialize in compassionate Behavioral Health services, including high-quality, evidence-based mental health and substance use treatment. Our philosophy is built on a psychosocial model of care and follows the core principles of resilience, recovery, and restoration. We offer a collaborative work environment, competitive compensation, flexible scheduling, and comprehensive benefits packages so you can focus on what matters-providing quality patient care. Join our team in Tucson, Arizona, and build a career that touches lives.
We are seeking a Financial Counselor to join the team at El Dorado Springs (formerly Cornerstone) in Tucson, AZ.
The Financial Counselor provides guidance to patients in all aspects of their financial responsibilities that result from acceptance of the facility's services. Counselor assesses patients' financial ability, determines ability to pay, advises patients on insurance benefits, explains financial liability, collects payment, negotiates payment arrangement, secures financing, identifies funding sources and resolves any confusion the patient may have about their financial obligations to the facility. Counselor is responsible for the accurate and timely verification of insurance benefits, to include: contacting patients and/or guardians to obtain additional insurance information, researching and maintaining an ongoing collective knowledge of HMO, PPO, Medicaid, Medicare, and commercial insurance reimbursement rates and criteria, evaluating plans to calculate and estimate of the patient's out of pocket charges, collecting any co-pays, co-insurance, deductibles, etc. and exploring patient's financial circumstances to ensure fair and reasonable repayment terms.
Job Responsibilities:
* Provides accurate account and billing information to required departments within timelines specified.
* Ensures the effective implementation of collection measures for uncollected co-pays, deductibles and coinsurance.
* Serves as additional point of contact regarding benefit determination within departmental timelines.
* Maintains self-pay/ self-pay after insurance work list and ensures accounts are worked daily and documents appropriately within the software system.
* Provides required follow-up on all patient accounts with the goal of collecting any patient co-pays, deductibles and coinsurance at the time of services rendered.
* Ensures that all admitted patient accounts have been verified, corrected, and completed within 24 hours of admission.
* Gathers and collects all pertinent financial information in order to accurately assess the patient's information.
* Identifies candidates eligible for charity and submits charity requests with the appropriate financial documentation.
* Works with uninsured patients to identify potential Medicaid eligibility and makes the appropriate referrals to internal or external agencies.
* Maintains Medicaid Pending Log daily and reports any change in Medicaid status to the Central Billing Office.
* Maintains front-end collections log daily.
* Reports any system problems or billing/ verification/ collection issues to supervisor.
* Knowledgeable of specific billing/ verification requirements of various carriers.
* Identifies patient refunds/balance transfers and documents the amounts.
* Processes all insurance requests from other departments and physician billing offices in a timely manner.
* Informs billing/ collections staff of any pertinent information needed to submit a "clean" claim when/ if charges occur during/ after visit.
Qualifications
Education: High school diploma or equivalent required
Experience: Previous experience in healthcare collections or a related field, or any combination of education, training or experience in healthcare business office setting preferred.
License: Valid Driver's license preferred
Additional Requirements: May be required to work flexible hours and overtime.
