Financial Counselor, Onsite, Toms River (Community Medical Center)

at  RWJBarnabas Health

JOB OVERVIEW:

The Financial Counselor conducts financial screenings of patients in order to secure payment for healthcare services for those that are uninsured and underinsured.

QUALIFICATIONS:

Required:

• High School Diploma or GED equivalent required within one (1) year of hire.
• Candidates who do not possess a High School Diploma or GED equivalent will be provided the opportunity to enroll in a GED/HSEA program at time of hire as a condition of employment. A hired candidate will be provided one (1) year from date of hire to successfully complete a GED program and obtain their HSEA.
• 4+ years Similar hospital billing or accounting experience
• Knowledge of Charity Care. Uncompensated Care, and Medicaid guidelines and regulations
• Knowledge of medical terminology and insurance verification preferred
• Candidate must be detail-oriented
• Computer experience required
• A minimum of three years insurance authorization/pre-certification experience required.
• Knowledge of insurance, insurance verification and TOS collections
• Ability to communicate effectively.
• Bilingual preferred

Preferred:

• Prior experience in hospital admissions preferred
• Bilingual preferred

SCHEDULING REQUIREMENTS:

• In-Patient Representative
• Shift working, 9:00am-4:30pm each day
• Monday - Friday
• Full-time
• Rotating Weekends and holidays required

ESSENTIAL FUNCTIONS:

• Identifies the appropriate payment source, which may include patient payment, enrollment in government programs including Medicaid and Charity Care or other payment sources.
• Daily tasks include inpatient and bedded patient account review, authorization and benefit determination, creating estimates and collecting point of service cash when appropriate, providing timely and appropriate referrals for various state medical assistance programs, collecting all necessary documentation and patient signatures and verifying commercial payers including updating the patients financial record in the appropriate HIS.

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.