Financial Counselor On-Site Full Time Day Shift

Guidehouse•Los Angeles, CA

2d•$42,000 - $70,000•Onsite

About The Position

The Financial Counselor is responsible for program eligibility and POS payments for patients receiving or who have received services at the facility. This position estimates patient liability for services rendered and communicates with patients regarding financial responsibility. Patient portions due, are to be collected before patient discharge. The Financial Counselor is also responsible for screening patients for program eligibility and communicating with Guidehouse such findings. The Financial Counselor is also responsible for assisting patients with the completion of applications. This position will also assist in coordinating efforts between the patients, hospital, doctors and third-party agencies to obtain info needed eligibility process. Must accurately collect and input patient eligibility and status information into the system. Financial Counselor is responsible for multitasking to ensure the processes and follow through with the patient and other involved parties are completed daily or weekly. Schedule: This is a full-time position working Day shift Monday-Friday 9:00AM - 5:30PM PST and one weekend per month.

Requirements

High School Diploma or GED.
At least one year of experience working in a customer service/administrative/medical oriented environment.
Knowledge of Word and Excel are required.

Nice To Haves

Experience: Medical terminology, data entry, prior admitting, entitlement, business office or physician office experience preferred.
Bilingual (English/Spanish) preferred.
Healthcare background preferred.
Working knowledge/experience of Federal, State and County eligibility programs.
Excellent interpersonal skills.

Responsibilities

Determines patient responsibility and eligibility through Insurance, Federal, State, and/or County government benefits.
Reviews accounts for proper plan codes, financial class, and patient type.
Contacts appropriate agencies to verify assumptions of liability.
Investigates alternate payment sources for self-pay patients.
Negotiates flat rates on accounts where the patient has no linkage to government programs.
Does bedside with patients and informs them of financial responsibility prior to discharge.
Sets up payment plans with patients prior to discharge and documents payment arrangements in patient accounting systems.
Provides patient with mailing envelops and payment dates before discharge.
Collects monies from patients when there is an estimated patient liability due on the account.
Monitors Medicare days and co-insurance days on in-house patients.
Reviews all in-house Medicare accounts on the 1st and 15th of each month.
Updates account with Eligibility info in detail.
Interviews uninsured patients for eligibility in Federal, State and County assistance programs prior to discharge.
Completes Financial Assistance Applications or Charity Applications with uninsured and/or underinsured patients prior to discharge.
Completes application and attests to the accuracy of the information by signing the application.
Interfaces with facility Social Services and Case Management Departments regarding inpatient admissions and discharges.
Documents all payer and patient financial information in the hospital computer system.
Responsible for the retrieval of Inpatient Census patient information within the facility to follow up on In House patients no insured or under insured.
Obtains complete and accurate patient information including possible insurance(s), and financial information by communicating with patients, family members, and physicians regarding their stay.
Follow up with patients and agencies to ensure eligibility for date(s) of service.
Educates patients on eligibility status and needs to obtain eligibility.
Manages a group of accounts daily in accordance with hospital standards. Ensuring accounts that have had a financial application have been approved or denied or accounts pending eligibility have been approved or denied.
Communicates daily with co-workers, hospital and management in regard to account progress and/or other issues.
Utilizes organization and prioritization skills in their daily tasks.
Utilizes time management skills to ensure completion of daily processes.
Must maintain open and positive professional communication orally and written at all times.
Should not at any time indicate or suggest to the patient that they will be relieved of the debt by the way of a write-off to charity care until the determination has been made.
Demonstrates the ability to secure patient cooperation and participation in the eligibility process and acting as their authorized representative assists in completing and submitting required documentation to Medicaid eligibility department.
Performs all related job duties as assigned.
Computer skills in a Windows environment are required.

Benefits

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program