Counselor Financial-Admission Philadelphia Campus
Share
Job Location:
Philadelphia, PA - USA
Monthly Salary:
Not Disclosed
Posted on:
8 days ago
Vacancies:
1 Vacancy
Job Summary
Job Details
Counselor: Financial-Admission Philadelphia CampusJob Description
Job Description
Primary Function:
Understands the importance Einstein Healthcare Network places on providing exemplary customer service and performs job functions in a manner that helps meet the department customer service goals.
Identifies customer service issues and resolves or initiates necessary follow-up.
Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information. Explains necessary forms and obtains signatures from patient/guarantor.
Utilizes appropriate reports to contact insurance payers verifying benefits and obtaining necessary authorizations. Documents authorization and benefit information in registration system. Work with payors to resolve accounts that are pending or denied.
Screens patient/guarantor for federal state county or other assistance programs and completes necessary forms and applications per facility guidelines.
Explains insurance benefits and collects current and outstanding co-pays deductibles and self-pay portions due or establishes payment arrangements for these balances as appropriate.
Maintains a working knowledge of third-party reimbursement requirements and regulations.
Exhibits working knowledge in the use of all registration and scheduling systems electronic verification
tools and Web based resources.
Follows Patient Financial Services self-pay policies including self-pay fee schedules completion of Medical Assistance and Charity Care Application explanation of payment options and collections of monies due.
Follows Patient Financial Services policies related to cash handling and performs department cashiering functions and point of service transactions.
Maintains understanding of the medical necessity screening process and appropriate systems and a working knowledge of ICD-9 and CPT codes.
Performs appropriate pre-registration functions including calling physician offices insurance payers and
the patient/guarantor as necessary.
Cross-trained with appropriate knowledge and skills necessary to staff multiple areas within department
including but not limited to Diagnostic/Interventional Admissions Cashier Pre-Registration Scheduling and Emergency Department.
Participates in training of new team members.
Work closely with Nursing Ancillary Scheduling Case Management Social Workers Managed Care
Companies Physicians Administration and Patient Accounting.
Maintains departmental logs for statistical reporting. Works departmental reports as assigned.
Consistently meets Quality Assurance standards set by Patient Financial Services department.
Meets departmental goals regarding collections productivity and customer service.
Participates in internal department committees.
Assists his/her manager in planning and organizing department activities.
The Financial Counselor/MA Specialist interviews in-house patients referred for Medical Assistance applications. Obtains various paperwork from patients and other hospital departments that are necessary to secure applications according to MA regulations. Work with County Assistance office and referral agencies to obtain Medical Assistance approvals. Process and perform system maintenance pertaining to PA 162 forms. Work with Case Management to insure MA 87s are processed according to MA regulations. Provide support for MA biller.
This position requires providing service to the following age population(s) in a manner that demonstrates an understanding of the functional/developmental age of the individual served. (Statement must be included for all positions that require regular patient contact)
Education/Training/Experience: (indicate if required or preferred)
High School diploma or equivalent
Two (2) years experience in a financial business office or customer service environment required.
One year hospital business office experience required
Demonstrated computer skills (including Microsoft Word and Excel).
Working Knowledge of ICD9 coding and medical terminology.
Able to work with minimal supervision.
Well organized self motivated individual with a positive attitude.
Excellent customer service skills.
Ability to work effectively with all payor and hospital personnel
Work Shift
Workday Day (United States of America)Worker Sub Type
RegularEmployee Entity
Albert Einstein Medical CenterPrimary Location Address
5501 Old York Road Philadelphia Pennsylvania United States of AmericaNationally ranked Jefferson which is principally located in the greater Philadelphia region Lehigh Valley and Northeastern Pennsylvania and southern New Jersey is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65000 people strong dedicated to providing the highest-quality compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic clinical and applied research. Thomas Jefferson University home of Sidney Kimmel Medical College Jefferson College of Nursing and the Kanbar College of Design Engineering and Commerce dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8300 students. Jefferson Health nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age race color religion creed sexual orientation gender gender identity marital status pregnancy national origin ancestry citizenship military status veteran status handicap or disability or any other protected group or status.
Benefits
Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues including medical (including prescription) supplemental insurance dental vision life and AD&D insurance short- and long-term disability flexible spending accounts retirement plans tuition assistance as well as voluntary benefits which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues including those who work less than part-time(including per diemcolleagues adjunct faculty and Jeff Temps) have access to medical (including prescription) insurance.
For more benefits information please click here
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
At Thomas Jefferson University in Philadelphia, PA, we are helping you to redefine what’s possible with innovative and tailored education opportunities.
