Description
Financial Counselor AdventHealth Zephyrhills Location Address: 7050 Gall Boulevard Zephyrhills, Florida 33541 Top Reasons to Work at AdventHealth Zephyrhills - FH Zeph/Dade City Named One of America’s Best Hospitals for Heart Care, Orthopedics, Stroke Centers and Patient Safety three years in a row “2017-2019” by the Women’s Choice Award
- Leapfrog Hospital Safety Grade A Spring/Fall 2018
- One of only 35 Hospitals Nationally Named as a Top General Hospital by The Leapfrog Group
- Four Star Recipient for Coronary Interventional Procedures in 2019 by Health grades
- First in Florida to earn Advanced Certification for Total Hip and Total Knee by The Joint Commission
Work Hours/Shift: Full Time Day YOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION You Will Be Responsible For: - Ensures all accounts are worked / patients seen and followed up on regarding collections and outcomes
- Professionally interviews patients in person and telephone to secure hospital payment or arrangements as necessary
- Understands Charity, external loan source(s), prompt pay, payment plans and other sources and assistance available to patients. Assists front-line staff with understanding of hospital and AdventHealth policies regarding collections
- Consults with Medicaid screening / placement vendor as needed
- Assist with Registration workload as necessary (including verification, scanning) proper hand-off to other departments etc.
- Ensures demographic / account information is correct. Verifies information entered by Patient Access staff
- Verifies benefits and eligibility on accounts. Documents accordingly. Scans benefit notes into account
Safety - Has patient confirm their identity when possible; cross references with database to ensure accurate MPI
- Ensures work areas are neat and tidy; floors/aisles are unobstructed – takes action on items which may pose a safety issue to coworkers and / or patients
Collections and Financial Stewardship - Estimates and explains patient charges
- Interprets and explain insurance benefits to patients
- Collects proper co-pay’s and patient portions at time of service. Is firm and persistent, but pleasant in carrying out the collection responsibility
- Understands all collection policies and options
Compliance/Laws/Regulations - Asks Medicare MSP questions to determine if Medicare is the primary payor
- Understands and completes ABN forms as required
- Maintains patient confidentiality at all times / HIPAA guidelines
- Completes annual educational requirements prior to anniversary date
- Maintains The Joint Commission, AHCA and other regulatory requirements
- Maintains Points of Integrity as outlined in Compass Point
- Understands EMTALA guidelines
- Complies with all organizational policies regarding ethical business practices
- Regularly attends staff meetings/responsible for reading minutes (or email summaries) of those missed
Professional Standards - Actively participates in performance improvement and process improvement (PI) activities; offers suggestions/ideas/input
- Adheres to dress code; appearance is clean and neat and wears identification while on duty
Mission and Patient Experience Introduces self to patients with name, greeting etc. - Professionally interacts with patients; creates a positive first impression
- Answers the telephone with proper greeting
- Offers assistance to co-workers rather than waiting to be asked for help
- Shows patients the way rather than pointing, when possible
- Refrains from voicing negative comments when speaking to patients such as “I don’t know”, “we are having problems”, “you need to”
- Keeps people informed when they are waiting, so they know what to expect
Qualifications
What You Will Need: - Ability to read and communicate effectively in English
- Strong written and verbal communication skills
- 27 wpm avg net typing speed; proficient with Microsoft Office applications and computers
- Multitask proficiently, using multiple computer systems, applications and technology
- 2+ years prior experience with registration, insurance verification in a hospital/physician office/collections role/insurance company. Must be able to professionally and confidently address patient financial responsibility
- Excellent customer service and satisfaction skills, ensures quality service is delivered to external and internal customers
- Understanding of revenue cycle (Registration, Insurance Verification, Coding, Billing)
- Understanding of regulatory guidelines such as CMS, EMTALA, HIPAA, The Joint Commission
- ICD-10, CPT, medical terminology
- Explains hospital charges and payment options and programs; collects monies due at time of service
- Consistently meet or exceed established collection goals
- Interpret and explain insurance benefits
- Detail oriented, demonstrate problem solving skills, flexibility and adapts well to change
KNOWLEDGE AND SKILLS PREFERRED: - 2+ years prior hospital registration and/or financial counseling experience
- 2+ years prior sales and/or collections experience
- Prior experience with guest service industry particularly with a high-end hotel, airline etc.
EDUCATION AND EXPERIENCE REQUIRED: - High school diploma, GED
- College training, professional certifications through AAHAM, NAHAM etc. which may be relative to the position preferred
Job Summary: Financial counseling, charity documentation, advocacy, collections and follow up. Assist with payment plans, insurance authorization/benefit explanations and is a liaison between the hospital and Patient Financial Services. Collaborates with Medicaid eligibility vendor and services all financial counseling needs of the hospital.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. |
