Self-Pay & Financial Counseling Specialist II #Full Time

Job Description

Job Description

Top Healthcare Provider Network

The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors . This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors’ practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties.

Opportunity to grow as part of the Revenue Cycle Career Ladder!

Job Summary:

The Self-Pay & Financial Counseling Specialist II is responsible for managing self-pay balances including installment accounts, receiving payments, and processing collection accounts. This position will establish payment arrangements per guidelines. The individual will also be responsible for answering inquiries and providing explanations or solutions to patient concerns and questions regarding charging. This role the individual is responsible for conducting financial assessments of patients in order to determine their ability to pay and reviewing patient registrations to ensure communication of patient out of pocket expense has occurred prior to visit.

Job Responsibilities:

• Responsible for managing and reviewing self-pay accounts.
• Receive payments and post amount to customer's account.
• Establishes payment arrangements per guidelines. Document terms in billing system.
• Handle customer inquiries, disputes and complaints in a professional and courteous manner. Escalate contentious complaints to supervisor or higher management.
• Attempt to collect full payment from patient or guarantor in a courteous manner.
• Analyze charge review rules that require review.
• Execute edits within charge review to achieve account resolution
• Performs other job duties as required and assigned including, but not limited to, job functions within the self-pay collections and customer service units.
• Obtain all insurance, demographic, guarantor information and update patient profile as well as bill third party payers as appropriate.
• Develop solutions to help address patient financial needs in accordance with policies and procedures.
• Determine financial clearance for a patient's visit or referral.
• Apply problem solving skills to help address the concerns and needs of the patients that the Financial Counselors serve.
• Work on complex cases that spread across multiple departments. Act as a liaison between departments.

Job Qualifications:

• High school graduate or GED certificate is required.
• A minimum of 1 year experience in a physician billing or third party payer environment.
• Candidate must demonstrate working knowledge of contracts, insurance benefits, exclusions and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations.
• Candidate must demonstrate the ability to understand and navigate the payer adjudication process.
• Candidate must demonstrate a strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to complex situations. Including the ability to diffuse complex situations in a calm and professional manner.
• Must demonstrate effective communication skills both verbally and written.
• Ability to multi-task, prioritize, and manage time effectively.
• Functional proficiency in computer software skills (e.g. Microsoft Word, Excel and Outlook, E-mail, etc.)
• Ability to work independently.
• The ideal candidate is a motivated individual with a positive attitude and exceptional work ethic.
• Patient financial and practice management system experience in Epic and or other of electronic billing systems is preferred.
• Knowledge of medical terminology is preferred.
• Previous experience in an academic healthcare setting is preferred.

Hourly Rate Ranges: $24.76 - $33.17

Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education.

61st Street Service Corporation

At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.

We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.