Counselor: II-Financial-M

Financial Counselor

Works closely with Nursing, Ancillary, Scheduling, Case Management, Social Workers, Managed Care. Utilizes appropriate reports to contact insurance payers, verifying benefits and obtaining necessary authorizations. Documents authorization and benefit information in registration system. Work with payors to resolve accounts that are pending or denied. Performs appropriate pre-registration functions including calling physician offices, insurance payers and the patient/guarantor, as necessary.

Essential Functions

Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. (Do not delete, move or over-write this statement)

Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information. Explains necessary forms and obtains signatures from patient/guarantor.

Maintains departmental logs for statistical reporting. Works departmental reports as assigned.

Consistently meets Quality Assurance standards set by Patient Financial Services department

Screens patient/guarantor for federal, state, county or other assistance programs and completes necessary forms and applications per facility guidelines.

Follows Patient Financial Services self-pay policies including self-pay fee schedules, completion of Medical Assistance and Charity Care Application, explanation of payment options and collections of monies due.

Identifies customer service issues and resolves or initiates necessary follow-up.

Screens patient/guarantor for federal, state, county or other assistance programs and completes necessary forms and applications per facility guidelines.

Explains insurance benefits and collects current and outstanding co-pays, deductibles and self-pay portions due or establishes payment arrangements for these balances as appropriate.

Competencies

Minimum Education and Experience Requirements:

Education: Includes High School Diploma or GED, Bachelor's Degree or Master's Degree (Specify field). Also includes Schools like Medical Assistant, etc. NO listings like Bachelor's degree or relevant experience.

Experience: Only years of experience in a particular setting, e.g. "5 years of experience in a doctor's office required."

Education:

AND

Experience:

High School diploma or equivalent

Two (2) years' experience in a financial, business office, or customer service environment required.

One year hospital business office experience required

Demonstrated computer skills (including Microsoft Word and Excel).

Working Knowledge of ICD9 coding and medical terminology.

Able to work with minimal supervision.

Well organized, self motivated individual with a positive attitude.

Excellent customer service skills.

Ability to work effectively with all payor and hospital personnel

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Albert Einstein Medical Center

Primary Location Address

559 W. Germantown Pike, East Norriton, Pennsylvania, United States of America

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps ), have access to medical (including prescription) insurance.