Financial Counselor (Customer Services) Full Time Days - Somerset, NJ

Job Summary:

The Financial Counselor ensures that coverage is financially cleared for all emergency inpatient and observation services by the review of insurance eligibility and benefits. The counselor is also responsible for creating estimates and upfront cash collection as needed. Interacts with all patient related hospital departments, patients, families, visitors, nursing personnel and medical staff. Identifies the appropriate payment source, which may include patient payment and/or referrals for enrollment in government programs including Medicaid and Charity Care. Daily tasks include inpatient and observation patient accounts review, authorization and benefit determination, creating estimates and collecting point of service cash when appropriate. If applicable, providing timely and appropriate referrals for various state medical assistance programs.

Essential Functions:

• Take actions that will support maximization of collection of balances due or account resolution from all sources. Meets Quality and Productivity expectations
• Facilitate account resolution. Accurately identify, follow-up on, or correct billing errors, lower than expected reimbursement, or denials for correction for submission or resubmission to patients and/or insurance carriers. Accurately perform actions on accounts that will result in the least amount of time and effort to bring an account to resolution based on job specific priority matrix
• Timely identify, research, and resolution any issues that may cause delays in payment or account resolution. Identify and recommend opportunities to improve collections and follow-up activities
• Work collaboratively across teams, with peers, and revenue cycle departments

Job Requirements:

• High School Diploma or GED equivalent required within one (1) year of hire.
• Candidates who do not possess a High School Diploma or GED equivalent will be provided the opportunity to enroll in a GED/HSEA program at time of hire as a condition of employment. A hired candidate will be provided one (1) year from date of hire to successfully complete a GED program and obtain their HSEA.
• RWJBarnabas Health is committed to our communities and the members we serve. RWJBH understands that in order to create strong, healthy, and sustainable communities, we have to re-engineer and transform current systems. Providing educational support and resources contributes to our overall social impact mission and community investment efforts.
• 4 years similar hospital billing or accounting experience
• Knowledge of Charity Care. Uncompensated Care, and Medicaid guidelines and regulations
• Knowledge of medical terminology and insurance verification preferred
• Candidate must be detail-oriented
• Computer experience required
• A minimum of three years insurance authorization/pre-certification experience required.
• Knowledge of insurance, insurance verification and TOS collections
• Prior experience in hospital admissions preferred.
• Ability to communicate effectively.
• Bilingual English/Spanish preferred

Preferred:

• Preferred experience includes insurance verification, cash collections, and obtaining Notices of Admission (NOA), with knowledge of insurance plans.

Scheduling Requirements:

• Full-time
• Rotating Schedule: Monday-Friday 9:00am-5:00pm
• Rotating every other weekend (9am-5pm Saturday and Sunday) and rotating holidays required

Other Duties:

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.

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer