Patient Financial Counselor
Conway Medical Center
Position Summary: The Patient Financial Counselor determines client eligibility for enrollment in available community programs including local funding and/or Medicaid. The Patient Financial Counselor is responsible for delivery of high-quality customer service with attention to special needs of a diverse client base. Employees must apply technical knowledge to analyze application materials to make appropriate decisions regarding client eligibility and ensure appropriate application of policies and procedures.
Qualifications: Education:
Qualifications: Education:
- High School Diploma or equivalent required.
- Minimum of three (3) years' General Patient Accounting experience.
- Minimum of two (2) years' Customer Service experience.
- Knowledge of Medicare, Medicaid, HMO, PPO and Commercial guidelines.
- Working knowledge of Word, Excel and other Microsoft applications.
- Effective communication skills and excellent working relationships with patients and physicians.
- AAHAM OR CRCS Certification preferred.
- Certification with SCDHHS (Heath Exchange Program) within 12 months of hire required.
- Requires fundamental knowledge of Conway Medical Center collection policies and procedures as well as other positions for Financial Assistance.
- Collect all inpatient and observation out-of-pocket expenses while the patient is in-house. Out-of-pocket expenses include, but are not limited to deductible, co-payments, services excluded by insurance plan, and/or self-pay negotiated amount due.
- Timely and accurate review of Charity Pending requests, request for copies of Itemized bills or claims, and incoming mail.
- Responsible for following up on all Financial Assistance requests through email/Patient Portal/telephone.
- Assist patients with the application process to include the Heath Exchange Program.
- Schedule appointments with patients to collect financial statements, unemployment, social security, and any other funding.
- Greet all patients and their accompanying family members when applicable and provide exemplary customer service.
- Coordinate with outside agencies for the patient qualifications of Conway or the State of South Carolina.
- Serves as a source for patients that exceed the Health Care District Coordinated Care FPLG (Federal Poverty Level Guidelines) but meets Charity Care FPLG.
- Interview people in need of services and assist them in navigating the documentation process.
- Must possess knowledge of Medicare, Medicaid, HMO, PPO, and Commercial guidelines.
- Review inpatient and observation admissions for adequate payer source and establishes a plan to secure payment resources to maximize hospital reimbursement.
- Work effectively and collaboratively with colleagues, physicians, and department heads.
- Effectively utilize strong organizational skills.
- Consistently display effective verbal communication skills.
- Proficient understanding and use of technology/PC skills required.
- Regularly exercise independent judgement.
- Complete other duties as assigned by department leadership.
Vacancy posted 3 days ago
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