Address
Form of workThe Cardiac and Vascular Institute (TCAVI) provides cardiovascular healthcare services to the patients of North Central Florida with respect, compassion and professionalism. We achieve our mission through the talents and extraordinary dedication our employees bring to their jobs each and every day. Come join the TCAVI team! We are seeking a FINANCIAL COUNSELOR in the BUSINESS OFFICE department of our cardiology practice. This position is located in Lake City, Florida - zip code 32055.
Job Title:Financial Counselor
Position Reports To:Business Office Supervisor
Location:Lake City, Florida
Job Type: Full-time
Job Summary:
This position is responsible for posting and monitoring payments from insurance and patient payments. The individual will respond to customer and payer inquiries and concerns, perform claims follow-up activities and perform special projects as directed.
He/she will perform other related duties as needed to maintain department cost containment and efficiency and quality of performance.
This position is responsible for posting and monitoring payments from insurance and patient payments. The individual will respond to customer and payer inquiries and concerns, perform claims follow-up activities and perform special projects as directed.
He/she will perform other related duties as needed to maintain department cost containment and efficiency and quality of performance.
Demonstrates a commitment to the basic concepts of continuous quality improvement.
Essential Functions:
The following description of job responsibilities and performance expectations is intended to reflect the major responsibilities of the job, but is not intended to describe minor duties or other responsibilities as may be assigned from time to time.
The following description of job responsibilities and performance expectations is intended to reflect the major responsibilities of the job, but is not intended to describe minor duties or other responsibilities as may be assigned from time to time.
- Demonstrates courteous behavior towards all co-workers and maintains a positive guest relations approach with patient and payer representatives.
- Maintains patient, employee and center privacy and confidentiality at all times.
- Promotes a professional image by adhering to the established dress code
- Responds to patient/payer inquiries and all other inquiries in a timely manner.
- Assist patients with calculating an estimated out of pocket costs of procedure/surgery. Reviews co-pays and deductibles with patient and insurance company to ensure complete knowledge and understanding.
- Performs tasks associated with secondary (subsequent) insurance claim submission, including copying, preparing and attaching EOB from primary payer as necessary.
- Ensures pertinent information relating to patient accounts and/or payer interaction is documented in the computer system.
- Processes account adjustments when applicable, including reviewing and resolving edits created by internal billing system and electronic transfer.
- Assists customers, patients and staff via phone or in-person with billing questions or issues.
- Follows up on unpaid or improperly paid claims as necessary.
- Anticipates potential billing/reimbursement problems and takes measures to prevent them. Reviews and monitors select accounts within the accounts receivable system, determines and performs appropriate collection actions, when authorized, to resolve account.
- Processes appeals and performs reimbursement analysis as directed by supervisor.
- Data enters registration updates as necessary.
- Demonstrates a systematic, collaborative approach to problem solving while recognizing the inter-relationships between staff, patients and Surgery Center.
- Takes part in the Surgery Center's program to promote the safety of self, and co-workers.
- Is able to demonstrate the knowledge of and adherence to safety and security guidelines.
- Reports real or potential safety problems that are associated with activities in their work area.
- Follows company financial policies and consistently applies it and stays abreast of any changes in policy.
- Performs other duties as assigned.
Education:
High school graduate or equivalent with good computer application experience, customer service and problem-solving skills. Employee will have knowledge and experience with claims processing. Will possess an aptitude for accuracy, good judgment and initiative. Employee will have a clear understanding of all account or invoice level activities for analysis and problem-solving tasks.
Experience:
Insurance billing and general office duty experience required.
Licensure:
Not applicable
Skills:
Must have interpersonal skills necessary to deal effectively with patients and payer representatives. Ability to analyze information and think critically. Proficient in the use of Windows software.
Environmental/Working Condition:
Ability to work effectively in a fast-paced environment. Physical ability to sit, perform data entry and view computer screen for long periods at a time.
Financial Policy:
Patients are required to pay the outstanding balance upon receipt of bill.
There is financial assistance available to those patients that cannot pay upon receipt of their bill. The financial assistance is in the form of a monthly payment plan.
