Provides counseling to inpatients and outpatients for financial responsibility. Serves as the primary contact for patients and families regarding financial assistance and insurance coverage eligibility.Partners with the managed care group to determine advanced verification of insurance precertification and benefit determination.
Essential Functions:- Interviews patients and/or family members to secure information concerning insurance coverage eligibility and qualification for various financial assistance programs.
- Meets with patients/families on the unit to obtain information that was not collected during the admission process and completes registration items (i.e. insurance cards prescription cards correct demographic information etc..
- Assesses the patients need for financial assistance during the admission process or at a time prior to the patients discharge.
- Determines patient eligibility for charity care for inpatient/outpatient level of care. Completes the charity application in accordance with NCH charity care policies. Forwards applications to Patient Accounts for final review and approval.
- Completes notes in the EPIC system on all discussions events and outcomes.
- Responds to all inquiries regarding patient accounts and financial assistance policies.
- Maintains effective communication and cooperative working relationships with other departments staff patients and visitors.
Education Requirement:High school graduate required.
Associates degree preferred.
Licensure Requirement:(not specified)
Certifications:(not specified)
Skills:Excellent customer service and communication skills.
Ability to work and problem solve with minimal supervision.
Analytical and decisionmaking skills with a strong attention to detail required.
Ability to understand and retain complex and quickly changing information.
Knowledge of the impact of managed care trends on hospital operations.
Familiar with medical terminology.
Able to function as a team member responsible for staffing operational hours.
Ability to adapt to change positively in workflow and process.
Keyboarding/typing/data entry skills.
Experience:Two years experience in registration collections customer service billing or related medical field preferred.
Familiarity with government commercial and thirdparty billing preferred.
Physical Requirements:OCCASIONALLY: (none specified)
FREQUENTLY: (none specified)
CONTINUOUSLY: (none specified)
Additional Physical Requirements performed but not listed above:(not specified)
Accountability Working Knowledge (Meets Expectations) Accuracy and Attention to Detail Working Knowledge (Meets Expectations) Customer Interaction Working Knowledge (Meets Expectations) Data Gathering and Reporting Working Knowledge (Meets Expectations) High School/GED Managing Multiple Priorities Extensive Experience (Meets Expectations) Membership and Billing Policies Standards and Procedures Basic Understanding (Meets Expectations) NCH Core Values Basic Understanding (Meets Expectations) Service Excellence Working Knowledge (Meets Expectations)
The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified nor is it intended to limit or modify the right of any supervisor to assign direct and control the work of employees under their supervision. EOE M/F/Disability/Vet