Financial Counselor
Dallas Behavioral Healthcare Hospital
Desoto, texas
Job Details
Full-time
Full Job Description
Seeking a Financial Counselor to generate clean bills for primary, secondary and tertiary payers, maximize upfront collections, minimize exposure of accounts at risk, ensure clean account receivable balances, maximize self pay collections, process Medicaid enrollments and effectively manage the interdepartmental workflow within the revenue cycle.
Duties include but are not limited to:
- Must be able to interview patients for the purpose of financial eligibility determination.
- Must be able to demonstrate a working knowledge of personal computers and other standard office equipment.
- Must have basic knowledge of medical software.
- Must have basic knowledge of public assistance programs and required forms.
- Must have knowledge of third-party payors and insurance verification procedures, and understand managed care and insurance contractual arrangements.
- Must be detail oriented, possess basic mathematical skills, and have sharp analytical skills to resolve financial issues as they relate to multiple groups including third party payors, physicians, patients and the system.
- Must demonstrate a positive demeanor, good verbal and written communication skills, and be professional in both appearance and approach.
- Must be able to handle potentially stressful situations and multiple tasks simultaneously including instructing and counseling patients regarding Parkland payment policies and public assistance programs.
- Must be able to communicate effectively with patients, families, government entities, insurance companies, and Parkland staff.
- Must be able to solve problems within the guidelines of established policies and procedures.
- Basic medical terminology knowledge preferred.
- Must be able to successfully complete additional job-related training when offered.
- Bilingual skills preferred
- Act as a liaison between the hospital and the patient collecting payments
- Ensures patients and relatives are interviewed to obtain necessary personal and financial information needed for admission/registration of the patient.
- Verifies insurance benefits of the patient and fully documents the verification process in the system.
- Performs all admitting/registration activities to ensure that complete and accurate information is entered into the system in a timely manner.
- Implements policies and procedures for admission/registration of all patients.
- Ensures that eligibility is re-verified when applicable. (e.g. Medicare and Medi-Cal patients)
- Collects the estimated out-of-pocket requirements prior to the patient's discharge.
- Fully documents all collection efforts into the system.
- Reviews the out-of-pocket yield report daily to ensure that collection efforts meet the hospital-specific target for upfront collections.
- Monitors eligible days/visits and disseminates relevant information to clinical staff, MDs, other Revenue Cycle related departments and Administration in a timely manner.
- Ensures full communication is given to patients of eligible days/visits and "At-Risk" notification is given to patients or the patient's guarantor, in writing when applicable in a timely manner.
- Monitors all information related to actual denial activity and disseminates relevant information to clinical staff, MDs, other Revenue Cycle related departments and Administration.
- Prepares requests for adjustments, refunds, transfers when needed to accurate reflect appropriate AR balances and submits for approval.
- Fully documents all transaction requests into the system.
- Ensures all collection activities are in compliance with State and Federal collection laws.
Requirements
- Education: High School degree or equivalent required. Bachelor's degree preferred.
- Licenses: None required.
- Experience: Three to five year admitting and/or Financial Counseling preferred.
- Knowledge, Skills & Abilities:
- Has knowledge of governmental and managed care payer requirements.
- Demonstrates understanding of the various "Self Pay" account classifications and their applicable patient statement processes.
- Understands the data elements required to generate a clean bill.
- Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards.
- Must have the ability to exercise a high degree of diplomacy and tact; excellent customer services and interpersonal communication skills; Cultural sensitivity and demonstrated ability to work with diverse people groups.
- Well developed verbal and written communication skills in English; Additional language abilities desirable.6. Knowledge of basic math and modern office procedures.
- Ability to work well under pressure with minimal supervision.
- Screening: Must successfully pass background check, drug screen and physical exam
- Physical Demands: With or without reasonable accommodations, must be able to stoop, kneel, crouch, reach, stand for sustained period of time, walk, pull, lift, raise and move objects from position to position (up to 50 lbs), finger grasp; feel sizes, shapes, temperatures, and textures; express or exchange ideas orally and potentially loudly, accurately, or quickly; visually detect, determine, perceive, identify, recognize, judge, observe, inspect, assess; perceive the nature of sound with or without correction; perform repetitive motions of the wrist, hands, or fingers. Typing, data entry (finger dexterity) and ability to hold hands steady on keyboard when typing. Sit at extended period of time with erect posture. Reading forms/computer screens. Ability to communicate verbally over the phone
This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the hospital.
If you are among the most competitive and qualified candidates for the job, you will be contacted directly by one of our hiring managers. Due to the high volume of applications we receive, we are unable to respond to individual inquiries regarding your application status. Good Luck & we hope to meet you soon!
Dallas Behavioral Healthcare Hospital is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
Benefits
Full-time employees are eligible for medical, dental, vision, company paid disability.