What are the responsibilities and job description for the Financial Counselor I position at Grandview Medical Center?
Job Summary
The Financial Counselor I is responsible for ensuring correct processing of patient accounts and coordinating all facets for patient accounts, credits and collections. This role ensures duties are completed accurately and timely while acting as a team player for optimum flow and excellent patient account care. The Financial Counselor I may also be responsible for verifying insurance and providing financial counseling to assist with self-pay accounts, as well as billing and collection of insurance and self-pay accounts.
Essential Functions
- Establishes payment arrangements according to departmental procedures.
- Accurately completes financial assistance applications with patients.
- Completes adjustment request and monitors requested adjustments to ensure accuracy of patient accounts.
- Reviews daily admission and missed opportunity report to ensure all accounts have a payment source and financial counseling.
- Requests appropriate actions from other departmental areas as needed.
- Answers patient questions regarding account and insurance information. Returns all patient calls in a timely manner.
- Monitors assigned accounts to ensure adherence to established payment program.
- Establishes and maintains communication with patient prior to visit, in-house and after discharge to facility POS collections and account management.
- Documents all actions/activity which impacts and account in the HMS/Star system using the correct comment type.
- Identifies patient's problems and resolves timely. Completes any research necessary to resolve issue.
- Demonstrates proficient office telephone and e-mail etiquette.
- Follows departmental procedures when requesting refunds.
- Assists in retrieving voice mail from the department's customer service telephone lines. Communicates effectively.
- Establishes and maintains two way communication with peers, staff, leaders, and administration.
- Follows through on problems using the appropriate chain of command.
- Cooperates well with peers and supports group decisions.
- Communicates appropriate information to lead staff member, supervisor, manager or director in a timely manner.
- Completes required education in a timely manner.
- Performs other duties as assigned.
- Complies with all policies and standards.
Qualifications
- Other completion of two years of college level classes required
- Associate Degree preferred
- Bachelor's Degree preferred
- 1-3 years of customer service or clerical office experience required
- 2-4 years registration/insurance verification experience in an acute care hospital or physician practice group preferred
Knowledge, Skills and Abilities
- Good analytical skills
- Excellent customer service and organizational skills
- Proficient in Microsoft Office applications.
- Strong decision-making, problem solving, and organization skills.
- Ability to maintain confidentiality
- Ability to multitask in a fast-paced environment
- Ability to communicate verbally in person, on the phone, and in writing in a clear, concise and professional manner.
- Working knowledge of Federal and State insurance regulations and payer regulations
- Ability to work effectively as a member of a team.