Financial Counselor I

Overview:

 



Description:

JOB DESCRIPTION:



Responsible for administering, understanding, and communicating financial policies and financial screening process to patients, patients families, and legal guardians in a clinical specialty of the Emory Clinic, Inc. to secure maximum reimbursement through up front identification and collection of patient liabilities.



Serves as a resource for staff and patients in need of making financial arrangements, account inquiries, account reconciliations including extensive auditing, acts as a liaison between PFS and clinic operations to resolve customer inquiries related to billing and customer satisfaction in a timely matter.



Performs all aspects of insurance eligibility and benefits verification.



Requires knowledge of Medicare, Medicaid and Third Party carriers and referrals and precertification procedures.



Monitors in-house accounts to improve revenue and timely payment of claims.



Complete cost estimates and follow guidelines associated with pre-payment process.



Identify patients which requires early financial counseling intervention and coordinates with the supervisor and clinic managers the outcome via written and verbal communication.



Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by Emory Healthcare.



Collects or completes payment arrangements for unpaid balances not covered by third party insurance or those having no coverage.



Responsible for financially clearing patients prior to their visits by collecting payment or determining insurance eligibility.



Performs other related duties as required. Provide financial counseling to satellite clinics for assigned sections when required.



Ability to multi-task efficiently and work in a fast paced environment and has a strong attention to detail.



Provide excellent customer service to include compassion and empathy while focusing on account resolution.



Organizational and time management skills in order to maintain and prioritize daily work and follow up on accounts in a timely matter is required.



Excellent interpersonal skills and the ability to successfully interact with internal and external customers at all levels is required. Employee may be responsible for other duties as assigned.



 



MIMINUM QUALIFICATIONS:



High School Diploma or equivalent and minimum of 3 years healthcare experience required OR any combination of equivalent education and experience.



Knowledge of Medicare, Medicaid, and other managed care payors (HMO, PPO, etc.)



PHYSICAL REQUIREMENTS (MediumMax 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.



ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock , Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation , Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.