Financial Counselor, FT

Position informs and counsels patients in regard to their financial liability for healthcare services. Position screens and refers patients to the appropriate agency to apply for state health insurance, Medicaid or CHP . Position screens patients for Gunnison Valley Hospital Financial Assistance Program. Position establishes medical financing arrangements for patients with large financial obligations. Position is responsible for the preparation of billing self-pay claims for patients of GVH. Ensures all patient information is correct and contacts patient to verify their self-pay status. Follows through monitoring all accounts until paid in full or outsourced to another agency. Responsible for keeping the Revenue Cycle Director and CFO informed of all matters with regard to self-pay claims. This position is responsible for processing Gunnison Valley Hospital Financial Assistance Program applications, Colorado Indigent Care Program (CICP) applications and for Hospital Discounted Care (HDC). Is responsible for other duties as assigned by the Revenue Cycle Director and/or CFO.

Education: Experience or training in healthcare office setting and/or equivalent education or job related activities is preferred. Must possess a high school diploma or equivalent. Bachelor’s degree is preferred. Spanish speaking is desirable.

Experience: Knowledge of insurance claims and billing is preferred. Ability to audit and review claim information for accuracy. Requires ability to work cooperatively with other employees, other departments and the public. Ability to prioritize work and meet deadlines is required. Ability to handle multiple tasks simultaneously and concentrate in a busy environment is required. Ability to use common computer system and business software is necessary. Bilingual English and Spanish.

Essential Functions:

• Determines patient financial obligation for services. Ensures that patient understands their estimated financial obligation and determines how they will meet that obligation.
• Screens patients for eligibility in state insurance programs and Gunnison Valley Hospital Financial Assistance Program.

• Collects payments from patients before services are received. Establishes Medical financing arrangement for patients facing large financial obligations before services are received.

• Processes monthly report to Revenue Cycle Director regarding accounts to forward to third party receivables vendor
• Reviews all self-pay patient information for accuracy. Reviews all daily face sheets and prepare to contact patient to verify self-pay status
• Reviews daily census report and verifies insurance/financial classification. Visits patient at bedside to confirm information. Notifies patient/guarantor on hospital options for self-pay admissions.
• Audits self-pay bills for charges, duplications and overlapped accounts before billing, making any necessary adjustments and documenting appropriately.
• Works closely with PFS Account Representatives when insurance information is received through follow-up phones calls to patients/guarantors.
• Receives and answers billing related questions with regard to payment and/or financial arrangements for all self-pay patients and patients with financial responsibility after insurance pays.
• Processes GVH financial assistance program applications and works closely with the Revenue Cycle Director regarding assistance program recipients. Responsible for the processing of CICP applications. Interviews and collects required documentation for program applicants. Determines qualification and benefits available to applicant. Processes necessary posting information for GVH charity patients and state CICP reports

Shift - Day

Schedule - 8a - 5p

Status - Full Time

Compensation: $20.84 - $23.00/hr, depending on experience.

Your total compensation goes beyond the number on your paycheck. Gunnison Valley Health provides generous leave, health plans and retirement contributions that add to your bottom line.

Benefits Eligibility

Medical, dental, vision, health care FSA, dependent care FSA, and Lifestyle Spending Account: All active employees working 40 or more hours per pay period in a Full Time or Part Time position are eligible for benefits on the first of the month after hire.

Full Time staff are automatically enrolled in 401A plan as of date of hire.

Life and AD&D insurance: All active employees working 40 or more hours per pay period are eligible for benefits on the first of the month after hire date.

Short-term and long-term disability: All active employees working 60 or more hours per pay period are eligible for benefits on the first of the month after hire date.

Occasionally - Standing, changing position, reaching, reach across midline,  crouching/squatting, stooping, stairs, lifting/lowering (0-20 lbs), carrying (0-20 lbs), pushing/pulling (20-50 lbs)

Frequently – Walking, sitting, handling, fingering

Continuously – See with corrective eyewear, hear clearly with assistance

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Salary : $21 - $23