Hospital Cashier

divh2Financial Counselor/h2pAt Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides patient care second to none!/ppGeneral Summary: Under the leadership of the Patient Access Director/Manager, the Financial Counselor is responsible for meeting with patients/guarantors, who require assistance in seeking and applying for healthcare funding (i.e. Charity Care, Medicaid or other local/governmental funding programs) and/or require assistance in reviewing and establishing payment options. The Financial Counselor is responsible for a broad spectrum of duties: ensuring that patients are educated on their financial obligations and insurance benefits, providing resources to secure coverage via state/federal programs and managing the patients account until discharge. The Financial Counselor is responsible for working with patients to ensure that the hospital receives maximum payment for all services rendered, while assisting the patient with all avenues of financial assistance available, in addition to performing cashiering and customer service functions. These duties are to be performed in a highly confidential manner, in accordance with the mission, values and behaviors of Insight Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians, volunteers and guests./ppDuties and Responsibilities:/pulliSeeks appropriate funding based upon patient requirements, collecting supporting documentation (payroll stubs, tax returns, credit history, etc.), as required. Provides information and education to the patient, family member and/or guarantor regarding the application/documentation process. In so doing, the incumbent will encourage patient participation in the funding process and will assist the patient in forwarding the required documentation and application to the appropriate funding agency./liliCounsels patient/guarantor on patients financial liability, third-party payer requirements and outside financial resources, including Private Organizations and Foundations, eligibility vendor(s), Medicaid, Medicare, Tricare, and/or federal disability programs, etc./liliCounsels patient/guarantor of payment plan options and establishes appropriate payment plans/liliAssists patient/guarantor in completing applications for applicable funding sources, financial statement and/or payment contract when required according to hospital policies. Analyzes such applications along with income/residential documentation in order to advise the patient of available options. Initiates requests for charity write-off, when applicable/liliAnalyzes financial and eligibility data, and length of disability to determine potential eligibility for federal, state, and/or county programs, completing the necessary documents within the time limits specified by the appropriate government agency/liliDetermines and manages proper course of action for optimal reimbursement of healthcare charges (e.g., spend down eligibility, out-of-network, Cobra coverage, etc.)/liliInforms patient/guarantor of flat-rate/discount programs and assists patient with the application process, ensuring that adjustments are requested and processed/liliFollows-up on eligibility applicants status and review accounts in MANG pending status./liliPerforms financial counseling on uninsured and underinsured patients for pre-service, time-of-service and post service basis./liliInterviews patient and/or their representative either via telephone or in-house to accurately update demographic information, financial and insurance data necessary to complete the financial counseling process./liliResponsible for the financial review of all inpatients who have no insurance or poor insurance coverage to ensure the patients maximum medical benefits are determined as early as possible./liliReviews prior account notes for any information that might aid in the application/payment process, as well as documenting all encounters and actions./liliMakes financial arrangements and setup payment plans within Mercys established guidelines./liliPerforms activities that relate to financial counseling for multiple patient types (Inpatient Admissions, Observation and Bedded Outpatients, Diagnostic Outpatients, Ambulatory Surgery, Series accounts, etc.)./liliReview Self-pay Inpatients and Newborn accounts on a daily basis/liliCommunications with patients, family members and guarantors, third party payers, local/governmental agencies, attorneys, employers, physicians/office staff and contracted vendors/agencies./liliInternal contacts including the Pre-Certification Department, Inpatient Verification, Patient Access, Social Services, Utilization Review/ Case Management, Ancillary and Patient Care Services Nursing department staff./liliInforms patient/guarantor of their liabilities and collects appropriate patient liabilities, including co-payments, co-insurances, deductibles, deposits and outstanding balances./liliCalculate patient liabilities, conduct credit scoring and propensity to pay modeling in order to determine the patient/guarantors ability and propensity to pay for services./liliIn the collection of funds, the incumbent posts payments/documents actions in the STAR patient accounting system and provides the patient with a payment receipt./liliProvides pricing estimates and communicates pre-service patient liability based on expected charges and potential coverage, as requested./liliExhibit exceptional customer service and communication skills to effectively communicate with physicians, physician staff and patient/guarantor./liliProvides customer service functions such as responding to patient inquiries/liliServes as on-site resource for walk-in patients requesting assistance: understanding current or prior bills, difficulty paying their bills and updating missing or incomplete insurance information on prior accounts/liliGenerating itemized bill(s) and submitting refund request./liliManages and monitors accounts in the pending eligibility financial class; follows-up on eligibility applications status, reviews accounts in MANG pending status and provides appeal assistance as needed and rebill Medicaid MANG pending accounts upon approval./liliPerform cashier duties as assigned/liliReceive, post and balance payments/liliPrepare bank deposits daily/liliTotals money received and verifies totals with cash on hand/liliReconciles totals when errors are found/liliPrepares report of daily transaction and document on shared drive/li/ulpRequired Knowledge, Skills and Abilities:/pulliHigh school diploma required or equivalent. Associates Degree or equivalent combination of education and/or work related experience. Previous work experience of at least two (2) years within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing financial counseling and/or financial clearance. Knowledge of general insurance guidelines and regulations./liliExcellent verbal and written communication skills. Strong interpersonal skills are required in handling internal and external customers. General computer literacy and knowledge Proficient of Microsoft Office applications. Strong customer service skills with the ability to effectively communicate with physicians, physicians office staff and patients./liliA strong, detail-oriented mindset and good analytical skills. Must possess proficiency in medical terminology and insurance terminology. Ability to adjust quickly to changes in workflow and prioritize effectively. Ability to work effectively as a member of a multidisciplinary team. Ability to serve as a mentor for new staff as directed./li/ulpBenefits:/pulliPaid Sick Time - effective 90 days after employment/liliPaid Vacation Time - effective 90 days after employment/liliHealth, vision dental benefits - eligible at 30 days, following the 1st of the following month/liliShort and long-term disability and basic life insurance - after 30 days of employment/li/ulpInsight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs. Insight is an equal opportunity employer and values workplace diversity!/p/div