FINANCIAL COUNSELOR

Minimum Offer

$ 16.99/hr.

Maximum Offer

$ 22.66/hr.

Compensation Disclaimer

Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

Department: Patient Financial Services - SRMC

FTE: 1.00
Full Time
Shift: Days

Position Summary:
This position will be responsible for working with patients in determining their financial obligations, and means by which they can meet those obligations. These duties will include determining co-pays, co-insurance, and deductibles for insured patients, identify and arrange for approval of community and other resources for patients who have an inability to pay, establishing payment plans, and processing applications for financial assistant with the hospital. Serve as onsite support for billing needs. This position will also cross train to be functional in the areas of patient registration, insurance verification, and obtaining prior authorizations. Ensure adherence to Hospitals and departmental policies and procedures. No patient care assignment.

Detailed responsibilities:
* RELATED WORK - Perform related duties and responsibilities as required
* RECORDS - Maintain departmental reports and records; collect statistical data for administrative and regulatory purposes
* RELATED DUTIES - Perform miscellaneous job-related duties as assigned
* PARTICIPATION - Participate in hospital/medical staff meetings and committees as required; attend technical and administrative meetings; participate in committee functions; participate in hospital-wide activities and committees within the scope of this position or as directed
* POLICIES AND PROCEDURES - Maintain established departmental policies and procedures, objectives, and quality assurance programs
* PROFESSIONAL DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
* APPLICATIONS - Explain, Assist, and process applications for the hospital’s and State, County or Federal Financial Assistance Programs
* SCREEN - Proactively screen patients for Medicaid and or Financial assistance prior to clinical appointment if possible
* CODING - Using CDM coding and CPT/ICD coding; create the patient estimates and collect on that estimate prior to services
* BILLING - Provide patients with their balances and options to pay on their account. Use billing system to establish payment plans; remove patients from collections as appropriate
* ACCOUNTING - Maintain a current and correct accounting of patients who are approved for Financial Assistance/Fed/State or County Programs; Including reviewing for expirations and renewals
* PROCESSES - Understand the registration, insurance verification, and prior authorization processes in order to serve as a back-up or fill in as needed
* BILLING - Serve as on site billing and Accounts Receivable rep
* PATIENT ACCESS - Offer patient portal for online medical records access

Qualifications

Education:
Essential:
* Associate Degree
Education specialization:
Essential:
* Related Discipline

Experience:
Essential:
2 years directly related experience

Nonessential:
Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo Bilingual English/Spanish

Credentials:
Essential:
* Afforcable Care Act Navigator w/in 1 year of position
* Medicaid PE certification within 1 year of hire date
* Obtain and maintain Notary Public w/in 6 months of hire

Physical Conditions:
Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Working conditions:
Essential:
* No or min hazard, physical risk, office environment