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SalaryJob Summary: Provides financial counseling to patients and families in accordance with the facility's policies. Assists patients/families with financial arrangements including financial assistance, for qualified patients, from outside agencies.
Demonstrates Competency in the Following Areas:
Creates and approves payment arrangements; reviews with patient different payment options and possible financial assistance, i.e., state and local agencies, indigent care.
Reviews all patient self-pay accounts. Meets with patient/family to obtain a satisfactory payment agreement for all parties.
Reviews patient charges; evaluates patient's assets and liabilities to determine patient payment schedules.
Ensures patient demographic and insurance information is correct in the computer system.
Documents all payment agreements in the computer database; sends payment confirmation letter to patient/family.
Documents all patient contact in the computer system.
Assists patients with Medicaid and SSI applications and refers patients to other Social Service as applicable.
Reviews Medicaid denials and assists patients/families with appeals if appropriate.
Communicates with financial agencies, assisting patients, regarding patient eligibility and/or financial settlement.
Prepares patient itemized bill upon request; explains charges, payments and adjustments.
Monitors patient accounts; initiates collection procedures when appropriate.
Possesses extensive knowledge of billing, insurance and collections procedures.
Maintains a good working relationship within the departments and with other departments.
Treats patients/families professionally, with respect and dignity.
Demonstrates the ability to be flexible, organized and function under stressful situations.
Supports and maintains a culture of safety and quality.
Professional Requirements:
Adheres to dress code, appearance is neat and clean.
Completes annual education requirements.
Maintains regulatory requirements.
Maintains patient confidentiality at all times.
Reports to work on time and as scheduled, completes work within designated time.
Wears identification while on duty, uses computerized punch time system correctly.
Completes inservices and returns in a timely fashion.
Attends annual review and department inservices, as scheduled.
Attends 12 staff meetings annually, or reads and returns all monthly staff meeting minutes.
Represents the organization in a positive and professional manner.
Actively participates in performance improvement and continuous quality improvement (CQI) activities.
Complies with all organizational policies regarding ethical business practices.
Communicates the mission, ethics and goals of the facility, as well as the focus statement of the department.
Requirements:Regulatory Requirements:
- High School graduate or equivalent.
- Post secondary education in accounting or related business field.
- Completed medical terminology course.
- Minimum of two (2) years experience in medical billing, collections, insurance, coding required.
Language Skills:
- Able to communicate effectively in English, both verbally and in writing.
- Excellent interpersonal skills.
- Additional languages preferred.
Skills:
- Basic computer knowledge.
- Excellent customer service skills.
Physical Demands:
- Normal hospital environment. Close eye work. Hearing within normal range. Operates computer, typewriter, copier, calculator, telephone, fax machine, and general office equipment. Continuous sitting. Occasional standing, walking, and bending within the work areas. Minimal lifting up to 40 pounds.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.
