Patient Financial Counselor

Description · The Financial Counselor screens uninsured and underinsured patients at bedside and prior to or post services to identify government or charity programs to cover medical expenses. The position requires a patient financial interview which includes a review of hospital charges, the patient's insurance status and financial resources. It may include the completion of appropriate applications and diligent follow up for approval.· Determines financial clearance for a patient's visit or referral (pre-service or at time of service).· Checks eligibility and benefits, determines authorization requirements have been met.· Assesses "risk" of cases that have not been financially cleared/secured prior to service. Clears low risk cases, escalates high-risk cases to coordinator or manager. · Contacts patient regarding steps required to clear their appointment for services including collecting a deposit for the patient’s financially responsible portion.· Quickly and accurately estimates a patient's out of pocket costs and prepares documents to present to the patient for payment. Assures secure handling and accurate recording of payments collected at the point-of-service delivery.· Applies strong problem solving skills to help address the concerns and needs of the patients that the Financial Counselors serve.· Effectively communicates, both orally and written, to a variety of individuals including: patients, case workers, social workers, hospital directors and executives while maintaining utmost professionalism.· Maintains professional communication with various Patient Financial Clearance and · Patient Access Services staff, medical center staff, physicians, guests, and patients regarding the services. Communication may consist of telephone correspondence or in person contact.· Must be multi-task orientated with excellent critical thinking skills and possess the ability to appropriately handle complexity and stress within the changing needs of the patients, families and the health system.· Meets weekly individual productivity goals and standards while following planned priorities as set by the Team Manager/Coordinator(s).· Performs other duties and responsibilities as assigned by the unit team manager or other PFC management personnel.· Performs the complete registration and admitting process from start to finishRequirements · At least 1 year of progressive responsibilities in a hospital or clinic financial counseling role with knowledge of pre-authorizations and reimbursement regulations pertaining to Medicare, Medi-Cal, and children’s health programs· Demonstrates proficiency as applicable with Epic, insurance websites, POS payment systems, web-based screening tools· Knowledge and understanding of Microsoft applications (Word, Excel, PowerPoint)· Strong knowledge of eligibility and enrollment requirements for Medicare, Medi-Cal, · Workers Comp, Managed Care (HMO, PPO, POS, etc.), Children's Health Programs (CCS, GHPP, Healthy Families, etc.)· Experience resolving issues in financial reimbursement billing, utilization management and government programs· Demonstrated communication, customer relations, and organizational skills· Ability to multi-task with attention to detail· Ability to complete work efficiently and problem solve independently· Ability to work well in a team environment· High school diploma or GED equivalentRobert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https:///www.roberthalf.com/us/en/terms) .