Patient Financial Counselor

Monday-Friday

9:00am-3:00pm

Job Summary: The Patient Financial Counselor ensures timely financial counseling of all patients creating a positive impression and maintaining good customer principles for each patient, family member, visitor or staff. Responsibilities are carried out in a manner that promotes the team concept and reflects the goals, values, mission and philosophy of Saint Francis Health System.

Minimum Education: High School Diploma or GED. Associate's Degree in healthcare related field preferred.

Licensure, Registration and/or Certification: None.

Work Experience: 1 - 2 years of related experience.

Knowledge, Skills and Abilities: Working knowledge of Microsoft Word, Excel and Access as might be used in the preparation of correspondence and reports. Effective interpersonal, written and oral communication skills. Must have ability to demonstrate respect, courtesy and empathy to all individuals and maintain a positive work relationship with all and contributes to the team environment. Working knowledge of government and third party payers. Demonstrate competencies in registration, billing and federal payer programs. Demonstrate excellent financial, analytical, negotiation and decision-making skills. Working knowledge of community resources related to financial resources. Ability to integrate the analysis of data to discover facts or develop knowledge, concepts or interpretations. Ability to organize and prioritize work in an effective and efficient manner.

Essential Functions and Responsibilities: Interviews/counsels patients either by telephone, in-house or as they walk-in and reviews all demographic and financial data necessary in an effort to secure payment for services provided. Assists patients in determining if they may qualify for programs like T19, Victims of Crime Benefits and Charity Care. Verifies insurance and other benefits with patient, patient’s employer, insurance company or other agencies. Obtains authorizations when necessary and gets appropriate forms completed for the patient’s visit (ex. Accident forms, MSP forms). Provides price quotes as needed, determines patient’s liability and negotiates payment of the liability. Sets up payment arrangements and collects deposits, co-payments or deductibles in accordance with the SFHS collection policy. Complies with departmental and hospital policies and procedures, safety, environmental and infection control standards, confidentiality and all laws to which hospital is subject. Assists patient with billing problems in conjunction with the Patient Accounting Department. Acts as a resource within the hospital for patient complaints or problems, either by responding directly or referring the problem to an appropriate source for solution.

Decision Making: Independent judgment in making decisions involving non-routine problems under general supervision.

Working Relationships: Works directly with patients and/or customers. Works with internal customers via telephone or face to face interaction. Works with external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Works frequently with individuals at Director level or above.

Special Job Dimensions: None.

Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job.  This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.

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