- Review patient's financial state, counsel patients on their out-of-pocket cost for their treatment plan, advise on insurance optimization options, and connect patient to financial assistance programs available to them.
- Perform any medical necessity reviews for treatment, prior to treatment, and work closely with the central authorization team to ensure the coordination of the medical necessity and authorization process.
- For off-label usages, FCs will be the point person for the appeal process and work towards a solution with the clinical team and payer.
- Be the point person for the clinical team regarding financial implications of their patient's care.
- Must be critical thinkers, who are skilled at problem solving and thinking through complex situations.
- Bachelor's degree or five plus (5+) years of experience in related field required.
- Experience in healthcare billing or related field required.
- In-depth knowledge of health insurance required.
- Pharmacy Tech Experience preferred.
- Proficiency in EPIC applications such as:
- Customer service-oriented including the ability to interact professionally and handle sensitive information/issues in a confidential, respectful, assertive, and empathetic manner in difficult interpersonal situations.
- Acts in a manner that establishes positive rapport with patients, families, and public/private financial assistance programs.
- Ability to quickly assess and respond appropriately to emergency situations.
- Ability to comprehend medical terms.
- Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles, and in-depth experience in multi-tasking.
- Ability to deliver consistent results and possess the drive to continually improve processes to benefit the patient and the hospital system.
- Ability to visually proofread typed work for errors.
- Ability to communicate via telephone to a variety of groups (patients, patients' families, insurance companies, other departments, etc.).
- Organization:
- Department:
- Shift:
- Union Code:
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Financial Counselor - Detroit, United States - Henry Ford Health System
Description
Navigating the finances of healthcare is an overwhelming endeavor.Financial Counselors (FCs) will help patients navigate and understand this arena, in so doing, will reduce stress around the financial responsibility of their episode of care.
This role is also critical for maintaining the financial health of the organization, by managing front-end insurance and revenue cycle processes.
GENERAL SUMMARY:
Under minimal supervision, Financial Counselors:
EDUCATION REQUIRED:
EXPERIENCE REQUIRED:
o Registrations,
o Work Queues
o and Referrals, preferred.
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions.
It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.Overview
Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan.
With 33,000 valued team members, Henry Ford is also among Michigan's largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn moreBenefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Henry
Ford Health has a new approach for its employee benefits program - My Choice
Rewards. My Choice Rewards is a program as diverse as the people it serves. There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.
