Job Summary Under moderate supervision, obtains complex financial information regarding patients from various sources, notifies insurance companies and assists with obtaining insurance authorizations. Handles and tracks payments, special package plan agreements, financial assistance paperwork, ability to obtain Medicaid applications, alternative financing, and verifies coverage from other third party payers in a variety of hospital settings. Utilizes effective collection activities to secure payment for balances on inpatient and outpatient accounts. Assists Supervisor with the monitoring of patient financial issues and audits registrations regulatory forms for accuracy daily or by shift. Accurately updates financial and demographic information into the Star Navigator Registration system. The Patient Financial Counselor works in partnership with staff members and other departments as needed to pro-actively identify and provide for the customers' needs.
Addresses complex financial issues; explains the financial policies. Pre-screens all financial information obtained from verification programs to determine patient's point of service amounts due. Assists with the completion of the financial assistance documents, and assists with the application process for Medicaid coverage
Performs daily follow-up on unverified and pending accounts; initiates contact with the patient/family regarding possible resolutions on account issues, to include personal visits, telephone contact, and written correspondence. Works with the DES office or vendor to assist in fulfilling the AHCCCS application. Makes sure that all regulatory forms are completed and signed, in a timely fashion
Obtains/encodes information into the patient registration system of all pertinent demographic and financial information. Reviews insurance verification and or eligibility for compliance on all accounts and verifies and obtains benefits for those accounts not previously done.
Determines cost estimates, calculates patient charges and reviews insurance eligibility notices, collects co-payments, package plan agreements, deposits towards liability, and past due amounts.
Responsible for adhering to all third party payer requirements including Medicare, Medicaid, managed care, Blue Cross and commercial plans. Maintains proficient level of knowledge regarding current federal regulations including but not limited to: DNV requirements, EMTALA provisions, HIPAA, and reimbursement criteria. Maintains required accuracy levels as designated by the Business Office Director. Must keep current with proficiency requirements via the Healthstream system.
Keeps management abreast of all unique situations and problem accounts while identifying opportunities to improve work processes.
Demonstrates skills necessary to work in an area other than primary responsibility, collaborating with the multi-disciplinary health care team to facilitate and ensure patient satisfaction and the maximizing of reimbursement.
Attends in-service and departmental meetings in order to enhance team building, patient communications and relations skills, and updated reimbursement knowledge.
Internal Number: 2018-12914
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Every day, we bring patients convenient, coordinated access to healthcare while providing meaningful service to our community.
Join us and you will:
Develop professionally and achieve your career goals
Enrich your life with a focus on wellness
Enjoy a compassionate, caring culture with outreach to our local communities
Support the well-being of you and your family with a diverse portfolio of benefits
Welcome to HonorHealth.
We are a non-profit, local healthcare organization known for community service and outstanding medical quality. Our organization encompasses five acute care hospitals with approximately 10,500 employees and 3,100 volunteers, urgent care centers, clinical research, medical education, an inpatient rehabilitation hospital, an Accountable Care Organization, two foundations, and extensive community services.