FINANCIAL COUNSELOR - CENTRAL BUSINESS OFFICE at FREEPORT MEMORIAL HOSPITAL

Freeport, Illinois, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Apr, 26

Salary

28.87

Posted On

05 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Terminology, Managed Care Structures, Insurance, Customer Service, Financial Assistance, Billing, Revenue Cycle, Claim Processing, Data Analysis, Problem Solving, Communication, Training, CPT Coding, HCPCS Coding, ICD-10 Coding, Process Improvement

Industry

Hospitals and Health Care

Description

Job Details Job Location: FHN Central Business Office - Freeport, IL 61032 Position Type: Full-time; F (80) Salary Range: $17.50 - $28.87 Hourly Job Shift: Days - 8:00am-4:30pm Job Category: Customer Service Job Summary Across multiple billing systems, the Financial Counselor diligently organizes bills, recovers, and resolves FHN’s open accounts receivables positioning FHN for solid cash performance. The Financial Counselor will utilize multiple tools and systems to analyze and execute the daily throughput (including the processing of approved account corrections) of revenue cycle billing and follow up, which includes quality assurance and issuance of insurance claims, client statements, and guarantor billing statements. This position has a direct correlation to the daily level of cash flow at FH. The in-depth field knowledge allows this level of talent to review and initiate self-pay collections, outline/identify options for patients to resolve their self-pay balances, and screen for financial assistance and public aid eligibility. Job Responsibilities Process account corrections to ensure accurate and compliant billing upon partnering with HIM and hospital/practice leadership for direction. Performs in-depth analysis of daily client and claim files prior to electronic submission to payers for adjudication and payment remittance. Understands 1500/UB claim formats to make accurate corrections to claim errors in a timely manner and leverages electronic claim submission in all circumstances through the clearinghouse for prompt processing and reimbursement. Analyzes open self-pay AR and formulates follow up tactics to resolve “like account situations” (segmentation) to secure cash flow. Leverages business intelligence and the high-impact work lists that are built around self-pay accounts using electronic organization of open balances to obtain payment in full or payment plan. Complies with 501r, The Fair Billing and Collection Policy, and FHN Discounts and Financial Assistance Programs Policy. Assists in training of others and provides assistance to other teams. Communicates effectively and efficiently with patients over the phone or face-to-face assisting with questions ranging from insurance explanation of benefits questions to self-pay, financial assistance, or billing statements. Diffuses concerns and provides on the spot resolution. Counsel’s patients on residual self-pay balances – collecting balances in full, arranging an acceptable payment plan, identifying other funding sources, or applying the patient for financial assistance. Delivers timely throughput and resolution to customer questions and concerns. Utilizes reporting mechanisms to identify patients to set up an OB Contract and meet with the patient to explain and set-up the contract including preparing the estimated out of pocket the patient will be responsible for after delivery. Use business intelligence to identify and review self-pay accounts requiring an uninsured discount and apply the discount. Presumptively review acute accounts and presumptive write-off. Identify ED accounts for Crime Victim and Sexual Assault education and billing requirements. Prepare estimates for services upon patient request and in accordance with Federal No Surprise Act Regulations. Keeps abreast requirements for CPT, HCPCS and ICD-10 billing and other payer changes. Identifies, recommends, documents and rolls out process improvement opportunities to peers. Qualifications Requirements Education: Associates Degree preferred Required Experience: 2 – 5 years Special Skills and Abilities: Medical Terminology Managed Care Structures/Contracting Coding Certificate Insurance Certificate Specialized Customer Service Training Courses Licensure/Certification/Registration: HFMA CRCR (Certified Revenue Cycle Representative) certification required or program must be completed within two years of hire. Populations Served While performing this job, the employee may care for patients in the following age groups. Serves patients in areas other than direct patient care While performing this job, the employee does not care for patients in the following age groups. No direct responsibility to treat or care for patients

Responsibilities

The Financial Counselor organizes bills and resolves open accounts receivables to ensure solid cash performance for FHN. They analyze billing systems, process account corrections, and assist patients with financial inquiries and payment plans.