Financial Counselor-Full Time-Days

Hoke Hospital Raeford, North Carolina PFS Financial Clearance Clerical Days (United States of America) Receives accounts and/or schedules for review and work-up regarding preadmission, admission, or add-on procedures, and services. Interviews patients for necessary account follow-up, to obtain accurate and detailed demographic, and financial information. Verifies insurance information, benefits, and initiates medical certification; reviews medical necessity, and assures that authorization is noted on file with supporting reference for the appropriate procedure, service, and/or patient status. Receives, reviews, and completes necessary follow-up for encounter denials. Notifies patients of financial responsibility; explains and reviews insurance coverage, and collects patient’s responsibility via phone, or at time of service, to include initiation of payment arrangements if needed, or as required.One to two years (1-2) insurance/clerical experience within a hospital or medical office setting. Must have knowledge of insurance and collection of payments. Must have experience with Microsoft software. Must possess excellent verbal and written communication skills, customer service skills and problem-solving abilities. Must be multi-skilled with the ability to appropriately handle complexity and stress with the changing needs of the patients, families, visitors, and the Health System. May be required to periodically rotate shifts and regular days off. All system employees must have the flexibility to meet the department hours of operation. Medical Terminology required within one year of employment.Must be able to communicate orally, see, and hear to collect information. Must have dexterity to operate office equipment. Position operates in an office, call center environment. The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen. The noise level is low to moderate. Answers telephone calls, uses personal computer and other business machines extensively. Bends, reaches, pushes and pulls file drawers to file records and reports. Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 pounds. CPAS - Healthcare Business Insights