Financial Counselor

Atrium Health
United States, North Carolina, Charlotte
Nov 19, 2024
Overview Job Profile Summary Job Details Job Title: Financial Coordinator Effective Date: 07/02/2017 Job Code: 60311 Clinical (Yes/No): No FLSA Status: Non-Exempt Supervisory Role: No Job Summary Provides assistance to patients and family members regarding establishing arrangements to provide payments for services provided. Ensures all insurance requirements are met prior to patients? arrival and informs patients of their financial liability prior to arrival for services. Education Degree/Diploma Obtained Program of Study Required/Preferred High School Diploma or GED Required Certifications and Licensures Credential Required/Preferred None N/A Experience # of Years Type of Experience Required/Preferred 2 Working in hospital/clinical services access or billing and collections insurance. Required Additional Knowledge, Skills, and Abilities - Excellent communication skills, oral and written. - Ability to analyze data, perform multiple tasks and work independently. - Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers and supervisors. - Must be able to understand and comply with policies and procedures. Job Specific Duties Patient Registration Admit, register and pre-register patients with accurate patient demographics and financial data. Insurance Authorization Administration Request insurance authorizations for medical and dental procedures via online portal or by phone. Enters authorizations in various systems. Provides estimates using the passport estimator for future services to help determine patient's liability. Screen patients for charity care, COBRA and Medicaid. Help complete applications as needed. Work with third party payers for copay assistance. Submit forms for prior authorizations. Financial Service Administration Calculate and collect payments from patients for hospital and faculty physicians. Set up payment arrangements. Reconcile daily money collected. Work with collections agencies to resolve balances and/or collect payments. Patient Referrals Refer patients to the Manufacturer Drug program as needed for medications. Claim Resolution Review and explain claim rejections on patient's accounts. Help resolve patient balance issues and questions. Professionalism Upholds a professional working relationship at all times and adheres to department rules. Practices teamwork and adheres to Standards of Behavior. Other Duties Performs other duties as assigned by management. UNC Health Care Employee Standards Communication: Uses appropriate methods to clearly convey information to others in an engaging way, which helps others understand and retain the message. Collaboration: Works with others respectfully and openly; provides help to achieve shared goals. Service: Uses appropriate methods to clearly convey information to others in an engaging way, which helps others understand and retain the message. Safety: Meets or exceeds patient and employee safety requirements while promoting and achieving quality outcomes. Accountability: Takes ownership for goals and outcomes; effectively and efficiently uses available resources to successfully complete tasks. Improvement: Identifies opportunities and takes action to continuously improve processes. Maintains effectiveness and flexibility during change. Workplace Requirements Employee Health: Complies with all required employee health programs including annual tuberculin testing and other applicable screening, testing and vaccinations. Credentials: Maintains current licensures, certifications and/or registrations (if applicable for the position). Job Competency: Complies with requirements for job specific competency testing and demonstrates and communicates proficiency in skills required (if applicable to position). Corporate Compliance: Adheres to and understands the Health System's Corporate Compliance Plan as evidenced by timely participation in required training (including annual testing) and 100% compliance with the Corporate Compliance Code of Conduct. Safety: Adheres to and understands the Health System's Environment of Care Plan as evidenced by timely participation in required training (including annual safety testing). HIPAA: Adheres to and understands the Health System's HIPAA Compliance Plan as evidenced by timely participation in required training (including annual HIPAA testing). Education: Attends all required educational programs (including General Orientation, and departmental or job specific required programs). Physical and Behavioral Requirements - Occasional stooping and standing. - Frequent sitting and walking. - Sedentary physical force (exerting up to 10 pounds of force occasionally or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects). - Visual acuity is required for computer use. - Ability to speak and hear is required to effectively communicate with patients and family members. - Manual finger dexterity for computer use. - Ability to manage a high stress environment resulting from patient financial arrangements. Occupational Exposure to Bloodborne Pathogens Yes or No: No National Patient Safety Goals Improve the accuracy of patient identification Improve the effectiveness of communication among caregivers Reduce the risk of health care-associated infections Consistently demonstrate appropriate hand hygiene techniques Core Values Teamwork - Is an effective team player who adds complementary skills and contributes valuable ideas, opinions and feedback. Communicates in an open and candid manner and can be counted upon to fulfill any commitments made to others on the team. Compassion - Is sensitive to the feelings of others and is consistently kind and considerate. Genuinely cares about people and is available and ready to help. Shows sincere concern, empathy, sees the best in people, accepts differences and appreciates virtues. Integrity - Views himself or herself as a reflection of the organization by following through on commitments and accepting ownership of any mistakes he or she might make. Acts in ways that demonstrate personal honesty and serves as a positive example of why others should trust the motives of the organization. Standards of Behavior Respect: Maintain Patients' Privacy Professionalism: Take Ownership Safe and Healing Environment: Keep Noise Levels Down Customer Focus: Use the 10/5 Rule; Escort to Destination; Use Elevator Etiquette Communication: Use AIDET (Acknowledge, Introduce, Duration, Explain, Thank) Employee Statement of Understanding I have read and understand the job description for my position. I also understand that I am responsible for meeting the standards of performance outlined in this job description as well as conducting myself in a manner supportive of the mission, vision, core values and Standards of Behavior of High Point Regional Health. I certify that I possess the physical and mental abilities to regularly attend work and fulfill the essential functions of this position with or without reasonable accommodation. If I require accommodation in order to fulfill any or all of these essential functions, I will notify my manager immediately (or in the case of new employees, prior to employment). I understand that receipt of this job description does not imply nor create a promise of employment, nor does it create an employment contract of any kind. I furthermore understand that if hired, my employment relationship with High Point Regional Health is at will and may be terminated by myself or employer at any time with or without cause. The requirements listed above are representative of the knowledge, skills, education, certifications, licensure, experience, and/or ability required to perform the job. While this job description is intended to be an accurate reflection of the current job, management reserves the right to revise the job, work schedule, and/or require that different tasks be performed when circumstances change in order to best suit the needs of the department and/or organization.