- Education of financial obligations and polices to patient and or family members.
- Contacts all self pay patients whether in person or via phone/letter to screen for eligibility for Financial Assistance within time frame established.
- Demonstrates working knowledge of all public assistance programs and is able to screen patients for eligibility for these programs and initiate application.
- Is able to update registration information as necessary.
- Understand coordination of benefits and acts as a liaison between patients,Case Management, Patient Accounts Department, and Precertification.
- Embraces Technology solutions to work processes and practices.
- Fosters a "Culture of Safety" through personal ownership and commitment to a safe environment.
- Strong working knowledge of State and federal disability processes and regulations.
- Strong working knowledge of the Virtual Gateway system.
- Understanding and ability to identify patients that need state disability supplements completed.
- Recognize and direct patients through the Federal Social Security disability process.
- Working knowledge of State Unemployment insurance regulation. Ability to complete and submit these application.
- Ability to recognize and advocate for patients who meet the criteria for state sponsored insurance premium assistance program.
- Exemplary understanding of State sponsored insurance program.
- Direct knowledge of State and Federal sponsored programs such as "SNAP", WIC, DTA, and Social Security. Ability to direct patients to these agencies.
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financial counselor - Weymouth, United States - South Shore Health
Description
Job Description SummaryUnder the direction of Patient Access Manager is responsible to assist in maintaining the financial integrity of South Shore Hospital through excellent customer service skills.
Advocate and screen patients for the procurement benefits through state public assistance programs. Ability to interpret commercial and federalinsurance plan coverage for patient and families.
Responsible for the determination and collection of medical co-pays at the time of service.
Job Description
Essential Functions
Can reconcile and balance receipts by shift. Able to log into excel spreadsheet and documents on patients account.
b. Able to procure and explaining estimated pricing for outpatient hospital services (i.e. Cat Scan, MRI, Ultrasound, Travel Health)
c. Able to promote and support SSHOSP self pay payment process (reviewing discounts and payment plan processes)
b. Able to collaborate with social work and case management areas for patient care
b. Able to review and analyze MMIS and Passport Programs.
c. Manage own API (timecard) system.
d. Able to utilize the phone system, including VERA system.
e. Has a complete understanding and can manage credit card processes in Passport system (ie. process of payment, refunds).
f. Able to function and have a complete understanding of computer downtime process.
b. Adheres to universal precautions and respiratory etiquette guidelines.
c. Adheres to patient identification policies/procedures.
d. NIMS 100 certified
e. Able to identify correct insurance subscriber
f. Understand roles in emergency preparedness
I. Technology and Learning
a.
Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization.
b. Embraces technological advances that allow us to communicate information effectively and efficiently based on role.Unit/ Department Specific Job Functions
Unit Specific functions are those tasks, duties and responsibilities that are specific to the performance of the job within a certain unit(s).
b. Ability to complete the application with patient and their families.
c. Ensure all information and supports gathered for application are processed.
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