What are the responsibilities and job description for the FINANCIAL COUNSELOR INPATIENT PER DIEM position at Carson Tahoe Health?
Description
US:NV:Carson City Patient Registration
Per Diem Day Shift
About Carson Tahoe Health
CTH is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). CTH was voted 5 th most beautiful hospital in the nation nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.
Summary
• The individual’s responsibilities include but not limited to the following actions: a) Maintains current knowledge of state/county/hospital financial assistance programs, b) Assists patients without a payer source in identifying possible areas for assistance, c) Assists with completion of assistance applications, d) Obtains and maintains accurate data collection in order to identify areas of opportunity in the patient accounts process, e) Follow up on each account during the patient stay to ensure paying source and or notification/authorization is secured
Responsibilities
- Reviews daily admissions validating effective coverage/benefits and submit appropriate admit notification to commercial, government, or third party liability payers within one (1) business day
- Provides required clinical review information to appropriate UR organization based upon the health plans guidelines and criteria for admission
- Reviews daily uninsured admissions to assist patient and/or family with financial arrangements and identification of pay source
- Maintains knowledge to effectively communicate to patient/family eligibility requirements and process for Medicaid and Hospital Financial Assistance
- Completes outside agency financial application forms with guarantors in a timely manner
- Reviews and ensures compilation of hospital financial assistance applications, presenting to appropriate leader and hospital committee for consideration
- Works with hospital staff, particularly Case Management as requested to ensure that all avenues for possible pay sources have been reviewed for uninsured and underinsured patients
- Maintains and uses various payer portals to research/validate coverage, benefits, and notifications as needed
- Validates patient’s demographic and payer information and notifies Patient Access immediately if any corrections are needed
- Provides detailed account notes on actions taken, correspondence, communication, authorizations and denials in the electronic medical record
- Participation in department quality improvement initiatives and projects as assigned
- If applicable, ensures that timely clinical reviews are made for continued lengths of stay authorizations.
- Applies problem-solving skills to the interdisciplinary team process
- Adheres to policies and procedures to comply with the CMS Conditions of Participation
- Performs other related duties as assigned
Qualifications
- Required
o Three (3) years acute care hospital Revenue Cycle experience
o Nevada Medicaid Hospital Presumptive Eligibility Certification from Division of Health Care Financing and Policy (DHCFP) within one (1) year of hire
- Preferred
o Medical terminology knowledge
Top 5 Reasons to Live in Carson City, Nevada
- Live, work and play in one of the most beautiful regions in the world
- Enjoy an array of outdoor activities world class skiing, golf, camping, mountain biking, hiking, water skiing, kayaking, hunting and fishing
- Just next door is Beautiful Lake Tahoe
- We are minutes from Reno known as the 'biggest little city in the world' - Fine dining, nightlife, shopping and home to the University of Nevada Reno.
- Family friendly atmosphere with affordable housing & excellent school system
Our Benefits
- No State Income Tax
- Medical, Dental, Vision, FSA, Telehealth
- Paid Time Off, Mental Health, and Volunteer Days
- 100% Vested 401K & Roth with Company Contribution
- Tuition Reimbursement
- Referral Bonuses
- On Site Education & Certification Programs
- Base Wage Increases for Relevant Advanced Degrees
- Free Calm App Subscription
