- Interviews patients with inadequate and no insurance coverage to obtain suitable financial arrangements prior to the services being rendered, when applicable for admissions, in and out surgeries and outpatient clinical departments.
- Follows Revenue Management policies and procedures regarding financial matters and payment arrangements.
- Conducts detailed discussion with patients, obtains information and completes required tasks to determine patient's eligibility for Medicaid and other federal, state, and local government or private sources as appropriate.
- Meets with patients on a one-on-one basis to discuss the price of care and patient's current financial situation, obtaining all pertinent demographic and financial data to ensure resolution of account. Serves as an advocate to the patient to educate them on what to expect regarding financial matters.
- Responsible to be personally available to answer patient questions pertaining to financial, billing, and account status. Takes ownership of a customer's problem and ensures the matter is resolved timely and that the customer is satisfied with the solution.
- Provides oversight for assigned department and may be the first point of contact for the department regarding Patient Financial Services.
- Able to provide back-up support and coverage for any department as well as provide report analysis to departments and areas not covered by a Coordinator.
- Acts as coordinator between all Revenue Management teams and departments including Practice Consultants, Utilization Management and Care Management, Providers, Geisinger departments, clinical departments, and the patients concerning financial counseling activity.
- Calculates patient's outstanding balances and then discusses and finalizes the method of resolving those balances through pre-service financial counseling, point of service collections, payment plans, or other arrangements.
- Performs accounts receivable review for special pricing packages and ensures appropriate allocation of funds.
- This includes the ability to identify areas of opportunities and provide trending information and detailed documents outlining findings and recommendations.
- Prepares receipts for payments collected (both past and future). Promotes day of service cash collections and collections of outstanding balances system wide.
- Requests and assists patients by preparing pre-service price estimations, educating patients on insurance benefits, and arranging mutually agreeable payment terms.
- Conducts research and follow-up activities on assigned accounts according to established procedures and time frames.
- Assists in maintaining control of self-pay accounts receivables.
- Resolves accounts via charity, vendor referrals, financial status determination, and other options as defined by Revenue Management policies and procedures.
- Performs troubleshooting activities surrounding Revenue Management financial advising and service issues and trends for assigned service lines.
- Maintains ability to manage assigned projects and tasks associated with these efforts.
- Assists physicians, insurance companies, employers, and others with requests concerning financial clearance and patient accounts to result in positive resolution.
- Coordinates efforts with other departments to resolve financial clearance, insurance, billing, collection, and other related concerns and issues.
- Completes and updates Electronic Medical Record for all patients interviewed, via billing systems and Geisinger approved guidelines.
- Advises supervisor of unusual situations, chronic financial, medical, and legal problems.
- Ensures compliance with federal, state, and other third-party billing requirements.
- Position executes work functions while demonstrating a global knowledge of how their work interacts with other units in the revenue life cycle.
- KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
- EXCELLENCE: We treasure colleagues who humbly strive for excellence.
- LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
- INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
- SAFETY: We provide a safe environment for our patients and members and the Geisinger family.
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Patient Financial Counselor - Danville, United States - Geisinger Health System
Description
Location:Geisinger Medical Center (GMC)
Shift:
Days (United States of America)
Scheduled Weekly Hours:
40
Worker Type:
Regular
Exemption Status:
No
Job Summary:
Are you looking for a job in which you will always be learning something new? Do you like helping people? Our successful candidates have customer service background, attention to detail skills, and intermediate to advanced computer skills. Patient financial counselors meet with patients within the hospital setting to help find ways for patients to pay their bills. Because every patient situation can be different, there are a variety of things we do daily. Our team is here to assist patients with understanding what their financial responsibility will be and options that may be available to them. We can assist patients by screening them for medical assistance, marketplace insurance, and financial assistance to help with medical bills. We can also create estimates prior to service and set up payment plans for any outstanding balances.
Job Duties:
Provides financial counseling either in person or via telephone for all patients for designated areas; admissions-scheduled and/or elective, in/out surgeries and/or outpatient clinical services. Provides coordination and completion of patient billing and collection functions either at the time of the initial interview, prior to the services being rendered and/or after the insurance carrier has paid. Maintains a close working relationship with the staff of the assigned clinical departments to ensure clear communication and handling of all patients' financial needs. Provides accurate and efficient service to patients. Completes collections including co-payments, deductibles, and remaining estimated balances at point of service (POS).
Position Details:
Monday - Friday / No weekends or holidays
Education:
High School Diploma or Equivalent (GED)- (Required), Associate's Degree- (Preferred)
Experience:
Minimum of 3 years-Related work experience (Required)
Certification(s) and License(s):
Skills:
Computer Literacy, Customer Service, Teamwork, Working Independently
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.
We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
