What are the responsibilities and job description for the Patient Financial Counselor position at KORE1 Technologies?
KORE1, a nationwide provider of staffing and recruiting solutions, has an immediate opening for a Patient Financial Counselor in Palo Alto, Ca. The Financial Counselor role screens uninsured and underinsured patients at bedside and prior to or post services to identify government or charity programs to cover medical expenses. The position requires a patient financial interview which includes a review of hospital charges, the patient's insurance status and financial resources. It may include the completion of appropriate applications and diligent follow up for approval. This individual must possess the ability to effectively communicate, both orally and written, to a variety of individuals including : patients, case workers, social workers, hospital directors and executives while maintaining utmost professionalism. Must be multitask orientated with excellent critical thinking skills and possess the ability to appropriately handle complexity and stress within the changing needs of the patients, families and the health system. What you will doDetermines financial clearance for a patient's visit or referral (pre-service or at time of service). Checks eligibility and benefits, determines authorization requirements have been met.Assesses "risk" of cases that have not been financially cleared / secured prior to service. Clears low risk cases, escalates highrisk cases to coordinator or manager. Contacts patient regarding steps required to clear their appointment for services including collecting a deposit for the patient's financially responsible portion.Quickly and accurately estimates a patient's out of pocket costs and prepares documents to present to the patient for payment. Assures secure handling and accurate recording of payments collected at the point-of-service delivery.Effectively communicates, both orally and written, to a variety of individuals including : patients, case workers, social workers, hospital directors and executives while maintaining utmost professionalism.Maintains professional communication with various Patient Financial Clearance and Patient Access Services staff, medical center staff, physicians, guests, and patients regarding the services rendered at hospital Must be multi-task orientated with excellent critical thinking skills and possess the ability to appropriately handle complexity and stress within the changing needs of the patients, families and the health system.Meets weekly individual productivity goals and standards while following planned priorities as set by the TeamManager / Coordinator(s).Performs other duties and responsibilities as assigned by the unit team manager or other PFC management personnel.Performs the complete registration and admitting process from start to finish.Education Qualifications
- High school diploma or GED equivalentExperience QualificationsAt least 1 year of progressive responsibilities in a hospital or clinic financial counseling role with knowledge of preauthorizations and reimbursement regulations pertaining to Medicare, Medi-Cal, and children's health programs, with previous experience working in a metrics-based environment driven by financial counseling goals (such as screening rates and collection goals)Required Knowledge, Skills and AbilitiesLanguage : Bilingual preferred (English and Spanish)Technology & Applications : Demonstrates proficiency as applicable with Epic, insurance websites, POS payment systems, web-based screening toolsKnowledge and understanding of Microsoft applications (Word, Excel, PowerPoint)Industry Knowledge : Strong knowledge of eligibility and enrollment requirements for Medicare, Medi-Cal, Workers Comp, Managed Care (HMO, PPO, POS, etc.), Children's Health Programs (CCS, GHPP, Healthy Families, etc.)Skills / Abilities : Experience resolving issues in financial reimbursement billing, utilization management and government programsPrior experience calculating, communicating and educating patient's on their financial responsibilitiesDemonstrated communication, customer relations, and organizational skillsAbility to multi-task with attention to detailAbility to complete work efficiently and problem solve independentlyAbility to work well in a team environmentCompensation depends on experience but is typically 20-25 / hr. ABOUT KORE1Specializing in professional and technical recruiting, KORE1 is committed to supporting top IT, Engineering, Creative, Scientific, Accounting and Finance professionals in their career paths. We build deep relationships with leading companies, connecting them to exceptional talent every day. With extensive industry expertise and unmatched opportunities, our goal is to provide a unique experience for our contractors and consultants as they prepare for their next role. We are passionate about matching the right people with the right companies.Kore1 provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Kore1 complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Kore1 expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Kore1's employees to perform their job duties may result in discipline up to and including discharge.