Financial Counselor Diffs
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Job Location:
Baton Rouge, LA - USA
Monthly Salary:
Not Disclosed
Posted on:
4 hours ago
Vacancies:
1 Vacancy
Job Summary
The Financial Counselor screens uninsured patients for Medicaid and financial assistance and evaluates the patients ability to pay for services. The Financial Counselor performs administrative and support activities relative to payment for services rendered to insured patients including collecting co-pays deposits and insurance information. The Financial Counselor uses excellent customer service skills to interact with patients family members and visitors that call or enter the facility. The Financial Counselor performs the quality control function for Medicaid accounts ensuring all pertinent information is available and accurately documented allowing for timely and efficient billing.
Responsibilities
Service
visitors and patients upon entering the hospital in a caring and respectful manner. Introduces self to patients and families and lets them know he/she will be handling their financial matters.
and maintains cooperation and communication with other hospital departments physician offices patients and insurance companies. Courteously handles telephone calls and faxes from above areas and assists these areas appropriately.
as support to patients and their family members to assure customers have access to all available funding which involves working with private as well as governmental agencies.
as billing office customer service support in assisting patients/guarantors and employees with billing inquiries; to include payer benefits EOB review collections and establishing payment plans inhouse or vendor referral.
patients with completing Medicaid and Financial Assistance application forms along with obtaining insurance coverage via .
Regulations
the collection of patient payment for services rendered. Research charges to obtain an approximate cost of procedures and communicates this information to the patient. Verifies insurance eligibility if any.
the patient of hospital policies and procedures regarding the financial responsibility of the patient. Establishes payment arrangements according to departmental policy and obtains signature on Financial Agreement Form. Collects the patients payment and documents the payment in the patients record.
patients who present as self-pay to determine if patient has active insurance coverage prior to initiating interview for financial assistance and other governmental programs based on internal program guidelines or state and federal payer regulations.
follow up activities relating to pending Medicaid and/or financial assistance including follow up calls and letters to the patient and status inquiries to the Division of Medicaid. Ensure timely resolution.
weekly status reports monitoring accounts for proper documentation of Healthy Louisiana Medicaid plans. Communicates with multiple departments to obtain pertinent data needed for approvals and authorizations.
daily contact with Utilization Management Business Office Patient Registration Medical Records Ancillary departments physician offices and other outside entities.
appropriate turnaround on all accounts to ensure determinations are made and notification provided to the patients within established timeframes.
daily cash receipts timely and accurately. Knows and understands hospital collection policies.
and understands Explanations of Benefits. Follows up on calls from patient inquiry within 24 hours. Reviews patients account history for any outstanding balances due and discusses payment options with the patient.
accountability and control of accounts to assure that reimbursement is received and there is no financial loss due to errors.
knowledge of payer contract terms and enforces/applies the knowledge when calculating patients financial responsibility.
good decision-making skills reflecting a balance between mission and financial obligations.
Duties as Assigned
other duties as assigned or requested.
Qualifications
Education: High School Diploma or Equivalent
Experience: 2 years healthcare experience preferably in Access Services or Business Office
Key Skills
- Financial Services
- Financial Models
- Account Management
- General Ledger Accounts
- ERP
- Payroll
- External Auditors
- Customer Relationships
- Credit Card
- Financial Statements
- Business Units
- Annual Budget
- Income
- New Clients
- Financial Management
About Company
The Franciscan Missionaries of Our Lady Health System is one of the largest healthcare systems based in Louisiana and is the leading healthcare provider for more than half the state’s population. The health system is a non-profit, Catholic organization sponsored by the Franciscan Miss ... View more
