Financial Counselor - FT

Improving Lives Together

Magruder Hospital offers competitive wages with a comprehensive benefit package available to both full-time and part-time employees. We provide a full health plan and generous time off that includes Holidays, Vacation, Sick, Personal, and even your Birthday! Our culture and family friendly work environment truly set us apart- apply today for an opportunity to join our team and help serve this great community!

Responsible for working with patients to insure that the hospital receives maximum payment for all services rendered, while assisting the patient with any and all avenues of financial assistance available to them.

• Interviews former patients or their representatives concerning open accounts and arranges method and amount of payment.
• Utilizes various eligibility and financial software tools to verify income levels and process applications.
• Receives and reviews past due bills and follow up documents to determine the nature and extent of delinquency problems, and any actions taken by patients or third-party payers.
• Confers with biller and other third-party entities to obtain additional information, and/or clarification. Correlates with co-workers regarding tasks and appointments.
• Processes on-line payments received via phone conversations.
• Checks daily admissions and conducts bedside screenings to set up payment arrangements and/or completes charity applications.
• Answers phone calls relating to patient account balances and makes arrangements for settlement with patients.
• Administers the Care Assurance Program (Charity) and financial assistance programs (FAP) in accordance with department policy and guidelines and determines patient eligibility for government and/or other sponsored programs.
• Processes statements and summary statements on patient accounts.
• Researches and resolves patients billing inquiries.
• Processes accounts to collection and serves as a liaison with outside collection agencies regarding Magruder Hospital’s collection accounts.
• Assists patients in securing payments from insurance companies.
• Monitors all in-house self-pay accounts receivable in daily workflow.
• Reviews and processes self-pay credit balances.
• Corresponds with various agencies and individuals regarding accounts.
• Complies with federal, state, and local legal requirements by studying existing and new legislation; anticipating legislation; enforcing adherence to requirements; advising management on needed actions; ensures compliance with Joint Commission and other external and internal regulatory agencies.
• Maintains the integrity of confidential patient information in accordance with HIPAA and hospital policy, including accessing, using and disclosing patient information relevant to the individual employee’s job duties. Also maintains confidentiality of other customer and hospital business affairs.
• Adheres to the standards of Magruder Hospital’s corporate compliance policies and seeks guidance and training when necessary to resolve questions about the policies. Reports violations in accordance with corporate compliance and organizational standards.
• Attendance is an essential function of this position. Reports to work on time and as scheduled; Shows respect for co-workers by following established break times; Keeps personal conversations and telephone calls to a minimum.
• Travel is primarily local during the business day, although some out-of-area and overnight travel may be expected.
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
• Other duties as requested or assigned.

• High School Diploma or GED equivalent.
• Excellent math, customer, organizational and problem-solving skills.
• Proficient in the use of personal computers and various types of office equipment. Has a strong working knowledge of PC based Word Processing and Spreadsheet applications, preferably Microsoft Office products (Word, Excel, Outlook).
• Ability to work in a safe and efficient manner and maintain an accident-free workplace, including ability to demonstrate a working knowledge of Magruder Hospital emergency codes.
• Ability to post Magruder Hospital and MMG payments with a high degree of accuracy.
• Strong working knowledge of departmental policies, procedures and business operations and how they interrelate to other departments in the organization.
• Must possess clerical skills:10-key, computer, telephone, copier.
• Basic knowledge of insurance and/or account follow-up.
• General knowledge of accounting systems and procedures.
• Strong typing and data entry skills.
• Ability to read and write small letters and numbers and to understand and communicate effectively and professionally in both written and oral form.
• Must be able to see, hear, respond, and communicate efficiently to the customer, patients and to calls received. Must be able to interact efficiently with others.
• Must be detail-oriented to research accounts to determine proper payment and verify correct adjustments for accounts.
• Must have the ability to deal with constant interruptions with poise, tact, and professionalism, while maintaining a positive image for the hospital.
• Stress management skills.
• Prior experience in healthcare billing or registration preferred.
• Assist with researching posting problems when needed.
• Must have the ability to deal with constant interruptions with poise, tact and professionalism, while maintaining a positive image for the hospital.
• Prior experience working with hospital or physician accounts or collection process.
• Knowledge of federal, state, county, and community sponsored programs (Medicare, Medicaid, HCAP, etc.)
• Strong working knowledge of departmental policies, procedures, and business operations and how they interrelate to other departments in the organization.
• Understand third party billing and collections.
• Basic understanding of billing form UB-04, 1500 and ICD-10 Coding.
• Basic knowledge of hospital and/or medical billing and insurance claim filing.
• Insurance and/or account follow-up.
• Basic knowledge of medical and insurance terminology.
• Minimum 1 year experience in a Customer Service setting.
• Maintains a positive impression at all times.

Preferred:

• Customer service oriented
• Experience managing difficult or emotional customer situations
• Able to promptly respond to customer needs
• Able to respond to request for service and assistance, can meet commitments

Magruder Hospital is an Equal Opportunity Employer and provides equal employment and advancement opportunities to all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, veteran status, disability, or any other protected class under the law.

Magruder Hospital is a Tobacco and Drug Free Workplace. Any offer of employment will be contingent upon satisfactory completion of pre-employment drug screening, including screening for the presence of nicotine, satisfactory completion of background verification, and the results of a post-offer medical and physical examination.