Patient Financial Counselor, Full - Time, Days

placeFlossmoor calendar_month 

Job Description:

Join us at the forefront at Ingalls Memorial as a Patient Financial Counselor in Flossmoor. This position is a 100% onsite opportunity. You will need to be based in the greater Chicagoland area.

As a Patient Financial Counselor you will be Under the supervision of Patient Access Manager, verifies, registers, scheduling of appointments and completes authorization for all third party payers according to industry, federal and state, billing and collection regulations for all Infusion and other hospital related services.

Maintains, abreast of all regulations affecting appropriate billing and collections of accounts, performs all clerical processing for completion and disposition of assigned accounts, handles patient, third party payer inquiries, makes necessary follow-up on those arrangements ensuring compliance with appropriate hospital and departmental collection policies and procedures assuring satisfactory disposition of all encounters.

Essential Job Functions
  • To work within the service standards; to support the vision of Ingalls Memorial Hospital and to provide the service of care which facilitate cost effective operations.
  • Obtain/collect patient’s pertinent socioeconomic information
  • Follow up on daily correspondence Review of pre registered encounters and appointments to insure proper pre-cert and authorizations Handling phone calls from insurance companies, doctor offices and internal departments Staying abreast of all insurance verification rules and regulations
  • Maintain that all encounters needing verification is completed with in 24 hours
  • Requires the ability to handle a variety of task with speed, and attention to detail and accuracy
  • Perform other job duties as assigned Under general supervision, verifies all insurance information provided by patients to ensure accurate and complete information according to third party payors and department protocols for billing purposes.
  • Identifies and verifies insurance benefits prior to patient service, when applicable. Assures pre certification requirements are met
  • General knowledge of precert and authorization rules for third party pay-ors Follow up with case managers, patient access and billing managers if special circumstances exist to ensure maximum reimbursement for Ingalls Memorial Hospital.
  • Work closely with other hospital departments such as: Case Management, Medical Records, Admitting, Doctors offices, Surgery, Patient Financial Services etc
  • The ability to deal effectively, empathetically, but professionally with patients, Insurance Companies and the general public
  • Supports team by assisting members to learn, develop and grow in their ability to contribute to results.
  • Assists patients, staff and other hospital departments on issues, problems or concerns as they relate to the Verification Department
  • Demonstrates a positive, supportive attitude when providing assistance to patients, family members
  • Ensures that all verifications are performed according to organizational standards and in compliance with external and regulatory agencies.
  • Monitors quality and productivity measurements which facilitate cost effective operations
Required Qualifications
  • High school graduate or equivalent is required.
  • Requires two to three years of demonstrated experience in hospital patient access, registration or patient accounts With extensive knowledge in third party, payor/regulatory agency requirements.
  • Working knowledge of computerized admission and accounts receivable systems
  • Experience in basic computer software programs (Microsoft Word, Excel and Out Look)
  • Demonstrated ability to develop others in areas of continuous process improvement, customer service delivery and self directed team work
  • Excellent customer service skills
  • Typing competency essential, 40-45wpm, and ten key calculator test
  • Requires the ability to handle a variety of tasks with speed and attention to detail and accuracy.
  • Some Medical Terminology
  • Good written and verbal communication skills
  • Good Written and Verbal communication skills
  • Ability to follow and complete detailed directions
  • Must be detail oriented
  • Requires good analytical and problem solving ability
  • Previous experience in a health care environment, preferably Central Scheduling, Call Center, Physicians office and/or other related health care experience
Position Details
  • Job Type/FTE: 1.0 Full Time
  • Shift: Days
  • Unit/Department: Registration
  • Work Location: On-site, Flossmoor
  • CBA Code: Non Union
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