Financial Counselor Outpatient

Atlanta, GA - USA

Monthly Salary: Not Disclosed

Posted on: 16 hours ago

Vacancies: 1 Vacancy

Job Summary

About Shepherd Center

With five decades of experience Shepherd Center provides world-class clinical care research and family support for people experiencing the most complex conditions including spinal cord and brain injuries multi-trauma traumatic amputations stroke multiple sclerosis and pain. An elite center ranked byU.S. Newsas one of the nations top hospitals for rehabilitation Shepherd Center is also recognized as both Spinal Cord Injury and Traumatic Brain Injury Model Systems. Shepherd is the only rehabilitation facility in the nation with an intensive care unit on-site allowing us to care for the most complex patients and begin the rehabilitation process sooner. Shepherd Center treats thousands of patients annually with unmatched expertise and unwavering compassion to help them begin again.

Shepherd Centers culture is one of hope humor and hard work. You will enjoy career growth strong relationships with co-workers strong support from leadership and fun activities that have kept over 12% of staff members working at Shepherd for more than 20 years.

The Financial Counselor is responsible for obtaining insurance verification and processing financial forms for this role the Financial Counselor is a liasion between patient financial services and access department. The Financial Counselor works with patients and their families and is vital to improving the patient experience.

JOB RESPONSIBILITIES

Financial Counselors serve patients and families by providing expertise in explaining benefit levels insurance plans and their applicability to patients planned or received services.
Financial Counselors must interpret and explain benefits explanations of benefits authorizations and/or denials of services to patients and their families.
Financial Counselors must be able to facilitate and manage follow through/coordination to obtain Single Case agreements for Out of Network patients when possible. They will work with Case Managers Department Managers the Director of Managed Care and insurance company personnel to do so. They must explain the process of requesting a waiver/gap approval to patients and families.
Financial Counselors are the first line in explaining Shepherd Centers charitable programs and assist patients/families in completing/submitting the paperwork. They must explain any excluded services and administer any flat rate collections (i.e. PRP services).
Maintains the cash drawer completes collections of copays deductibles planned services processes credit card transactions and communicates with the patient or guarantors.
Financial Counselors must meet with and assist patients and families on the floors as required demonstrating compassion poise and financial expertise.
Must have working knowledge of CMS required notices the No Surprises Act delivering estimates and explaining them and general managed care concepts. Must be able to negotiate and establish payment plans with patients as needed.
Periodically rotates through all clinical departments to maintain fundamental insurance verification registration and Patient Access knowledge. Will cover all positions as needed.

REQUIRED MINIMUM EDUCATION

High School Diploma
Associates or Bachelors degree preferred.
Strong Healthcare business background desired.

REQUIRED MINIMUM CERTIFICATION

CPAR CHAA or CHAM preferred.

REQUIRED LICENSURE

N/A

REQUIRED MINIMUM EXPERIENCE

Two (2) to Three (3) years experience in insurance preferably in a hospital setting.
Knowledge of Commercial Managed Care Contracts and Governmental Insurance Plans.
Experience in automated systems overall knowledge of business office procedures and hospital policy knowledge of third-party payors.
Excellent communication and customer service skills.
Familiar with general office equipment; fax machine calculator copier imprinter and embosser.

REQUIRED MINIMUM SKILLS

Must have a working knowledge of PC spreadsheet and database software.
Strong math aptitude required.

PREFERRED QUALIFICATIONS

PHYSICAL DEMANDS

Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time or exerting up to 15 pounds of force occasionally or a negligible amount of force frequently to lift carry push pull or otherwise move objects including the human body.

WORKING CONDITIONS

Some potential for exposure to blood and body fluids.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be an exhaustive list of all job duties performed by the personnel so classified.

About Shepherd CenterWith five decades of experience Shepherd Center provides world-class clinical care research and family support for people experiencing the most complex conditions including spinal cord and brain injuries multi-trauma traumatic amputations stroke multiple sclerosis and pain. An e...