Financial Counselor

Purpose of Position: Reviews patient accounts to identify & assist any patient in qualifying for & obtaining health care assistance/coverage when no other payer source is available with the goal of maximizing reimbursement for services. Description Coordinates & works with the FCC staff to Identify, review, & monitors all pre-admissions, admissions, & encounters with potential financial concern. Discuss & determine financial arrangements for patient care encounters & provides charge estimates during pre-admission screening Determines & tracks deductible amounts for Health Safety Net & determines if a claim can be submitted to the HSN. Works these accounts accordingly in all necessary systems. Explain & process payments from patients, which may include but not limited to co-pays, co-insurance, & deductibles. Follows department procedures related to securing payment information, providing patient receipts & reconciling daily receipts. Establish payment arrangements for unpaid co-pays, deductibles, & self-pay accounts as allowed under the policies & procedures of the Fiscal Department. Identifies accounts eligible for Medicaid, Health Safety Net, Section 1011, agency grants, etc., or other assistance programs. Distributes & assists in completion of applications for federal, state, local, or financial assistance programs. Maintains database showing productivity, application outcomes, type of application & other statistics as may be deemed by department director. Coordinates financial services with Utilization Review, Social Services, & Case Management functions. Documents & monitors financial information in the Soarian Financials computer system. Collaborates with Case Management to ensure Long Term Care & disability applications are processed accurately & in a timely manner. Maintains a professional atmosphere, being sensitive to commitment to superior guest services. Respects patient?s right to privacy as mandated by the Patient?s Bill of Rights. Responds to requests in a friendly, cooperative manner. Operates as a team with coworkers by approaching relationships in a manner which reduces conflict. Remains current with a working knowledge of the patient registration & billing system. Participates in educational programs, in-service meetings & workshops provided & as approved. Identifies operational & procedural issues, problems, & errors & constructively participates, on an ongoing basis, in development & implementation of solutions. Performs other similar & related duties as required or directed by management. Consistently provides service excellence to all patients, family members, visitors, volunteers & co-workers in a manner that reflects Cape Cod Hospital's commitment to CARES: compassion, accountability, respect, excellence & service. Qualifications Ability to read, write & communicate in English at the level of a high school graduate. Successful passage of state mandated CAC training within 2 weeks of hire. Formal education equivalent of a high school diploma is required. College experience preferred. Three years? experience in one of the following revenue cycle functions - medical billing or collections, patient access or medical secretary required OR equivalent of two years direct patient financial counseling experience required. Demonstrated knowledge of medical benefits programs, eligibility criteria & community resources. Basic math skills & ability to apply skills as demonstrated by successful completion of a timed business math test using manual & calculator-aided computations to solve problems. Successful completion of Medical Terminology course or successful passage of Medical Terminology challenge exam. Basic Microsoft Office computer skills required. Minimum of one year experience with Meditech, Soarian Financials or similar information system. Keyboarding at 35 w.p.m.