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Form of work Position Summary:
The Financial Counselor Lead is a key position on the team which assists patients and their families with a host of services to ensure that
the process of collection payments is fully explained and is as comfortable as possible.
Facility: ORMC, ED Registration
Location: Orlando, Florida
Type: Full Time
Shift: Second
Responsibilities:
Essential Functions
Understands the importance Orlando Health places on providing exemplary customer service and performs job functions in a manner
that helps meet the department customer service goals.
Demonstrates a positive and professional approach and communicates effectively with customers and team members at all times.
Identifies customer service issues and resolves or initiates necessary follow-up. Implements service recovery efforts as appropriate.
Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information
Explains necessary forms and obtains signatures from patient/guarantor.
Contacts appropriate payers, verifying benefits and obtaining necessary authorizations.
Utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
Explains insurance benefits and collects co-pays, deductibles and self-pay portions due.
Collects for related professional care as appropriate.
Collects outstanding balances due from previous accounts or establishes payment arrangements for these balances as appropriate.
Provide complete resolution to patients billing issues and questions.
Contacts Primary Care or Admitting Physician to obtain authorizations, diagnosis, and procedure detail as necessary.
Documents authorization and benefit information in registration system.
Assembles patient record and obtains copies of relevant documents including insurance cards, photo identification cards and any advance directives.
Demonstrates a thorough knowledge of third party reimbursement requirements and regulations.
Exhibits thorough knowledge in the use of all registration and scheduling systems, electronic verification tools and Web based resources.
Follows Patient Financial Services self-pay policies including completion of Guarantor Financial Statement Application, explanation of payment options and collections of monies due.
Screens patient/guarantor for federal, state, county or other assistance programs and completes necessary forms and applications per facility guidelines.
Follows Patient Financial Services policies related to cash handling.
Performs departmental cashiering functions and process point of service transactions.
Performs advanced department cashiering functions.
Collects and inventories patient valuables following policy guidelines.
Maintains thorough understanding of the medical necessity screening process and appropriate systems.
Maintains a thorough knowledge of ICD-10 and CPT codes.
Performs appropriate pre-registration functions including calling physician offices, insurance payers and the patient/guarantor, as necessary.
Qualifications:
Education/Training
High School or equivalent.
Must complete Corporate and Patient Financial Services annual educational requirements
Experience
Two (2) years experience in a financial, business office, or customer service environment.
Proficient in Windows Microsoft Office-based products (Word, Excel, PowerPoint).
Typing proficiency.
One (1) year PC/Windows experience.
