Financial Counselor/Benefit Specialist - Patient Access

Under the leadership of the Patient Access Supervisor the Financial Counselor/Benefit Specialist works as part of a team that is responsible to assure inpatient and observation accounts are thoroughly reviewed for accuracy as it pertains to insurance coverage, billing requirements and financial responsibility. S/he is responsible to assure authorizations/certifications are obtained and for analyzing insurance coverage and benefits for service to ensure timely reimbursement. S/he is responsible for clearly explaining financial responsibility to patients/guarantors and collecting payments/deposits at point of service.

This position also accurately performs registration, transfer and discharge functions based on hospitals policies and procedures. S/he is responsible for entering complete and accurate data utilizing computer technology. S/he is required to interview and gather information from the patient, doctor’s office, insurance company and government agencies. S/he is required to explain financial agreements, consents and admissions agreements and assure signatures are obtained. The Financial Counselor will generate appropriate paperwork and place hospital identification bands on patients according to procedure. This position serves patients, insurance companies, physician’s offices and other customers requiring excellent communication and customer service skills.

Experience:

• Two years experience working in hospital access, physician office, or billing and collections or an equivalent combination of relevant education and experience with a thorough understanding of insurance requirements, coverage, benefits, discounts and reimbursement required.
• Demonstrated ability to accurately calculate estimated patient portions due.
• Thorough understanding of government programs available to patients to assist with reimbursement.
• Knowledge of and experience with medical terminology.
• General clerical experience (typing, filing, answering phones, office equipment) with basic computer skills, including data entry and office programs.
• Knowledge of basic grammar and mathematical principles.
• Ability to analyze data, perform multiple tasks and work independently.
• Understanding of diagnosis and procedure coding is preferred.

Education:
High school diploma, G.E.D., or equivalent work experience in related field.

Equal Opportunity Employer

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