Demo

Financial Counselor

MFS Talent
Palo Alto, CA Full Time
POSTED ON 1/26/2025
AVAILABLE BEFORE 4/24/2025
  • Shift : Days - 8 hours, 40hrs / week-Location : Onsite, Palo Alto, CA-Compensation : $35 to $42 per hourDuties and Responsibilities-Determines 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, medicalcenter staff, physicians, guests, and patients regarding the services rendered at Stanford Health Care. Communication mayconsist of telephone correspondence or in person contact.Education Qualifications-High School diploma or GED equivalentExperience-Three (3) years of progressively responsible and directly related work experience-At 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, withprevious experience working in a metrics-based environment driven by financial counseling goals (such as screening ratesand collection goals)-Experience resolving issues in financial reimbursement billing, utilization management and government programs 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.)-Prior experience calculating, communicating and educating patient's on their financial responsibilitiesRequired Knowledge, Skills and Abilities-Bilingual preferred (English and Spanish)-Demonstrates proficiency as applicable with Epic, insurance websites, POS payment systems, web-based screening tools-Knowledge and understanding of Microsoft applications (Word, Excel, PowerPoint)Benefits-Health / Dental / Vision Insurance-Sick time off
  • Salary : $35 - $42

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