Financial Counselor

Location: Dodson Medical Office Building Department: Heart Transplant Shift: Varying Shifts (United States of America) Standard Weekly Hours: 40 Overview The Financial Counselor will financially screen patients/legal representatives in accordance with the Financial Policy. This position requires knowledge of tasks performed in the various areas of Patient Registration and Single Billing Office. This position requires knowledge of state, federal and system financial assistance programs. This position also requires timely completion, preparation, and deployment of legal documents and financial assistance applications, i.e. Medicaid, CSHCN, CCMC FQ applications. The Financial Counselor is responsible for maintaining knowledge of JCAHO, HIPAA, and Patient Rights & Responsibilities. The Financial Counselor will maintain a high degree of knowledge about Revenue Cycle drivers, Medicaid, Commercial Insurance, Limited Benefit Plans, and cost sharing plans. The incumbent will be responsible for maintaining knowledge of the Financial Policy and Charity. Financial Counselors are responsible for securing Financial Clearance for all emergency admits and all scheduled procedures both Inpatient and Outpatient. Knowledge of CPT codes and all relevant NPI and TPI is essential for securing correct authorizations and referrals. Responsibilities Responsible for completion of pre‑certification and verification of benefits on all inpatient, observation, and outpatient accounts, including benefits for prescription drugs, organ transplants, and follow‑up clinic visits. Works closely with the International Department to secure authorization/payments for patients traveling from foreign countries to receive services at Cook Children's Medical Center. Education & Experience High School Diploma or equivalent required. Minimum 3 years Hospital, Financial Counseling, or Physician Office Experience required Knowledge of government programs, HMOs, PPOs, Commercial Payors, and required financial assistance programs Strong verbal and written communication skills Typing and Computer experience required Knowledge of ESRD preferred Bi‑lingual preferred Preferred Skills/Experience Strong critical thinking, time management, problem‑solving, and customer service skills Transplant coordination experience preferred Knowledge of Patient Access Services functions Experience verifying insurance eligibility, benefits, prior authorizations, and referrals Extensive knowledge of HMOs, PPOs, Commercial Payors, HSAs, COBRA, Medicaid, STAR plans, CSHCN, CHIP, and financial assistance programs Detail‑oriented, adaptable, and professional in handling challenging situations Ability to communicate effectively with internal and external providers Strong documentation skills Certification/Licensure CPR certification required within 30 days of employment. Hours Monday to Friday: 8:00am to 4:30pm About Us Cook Children's Medical Center is the cornerstone of Cook Children's, offering advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer. #J-18808-Ljbffr