Patient Financial Counselor Per Diem (SBCH)

📁
Revenue Cycle
💼
Cottage Health
📅
1900010S Requisition #

To register, verify eligibility, obtain authorizations and gather financial billing information for Inpatient and Outpatient services for all hospitals.


Job Duties


Updates and/or registers patient in EPIC or Emdeon billing system, while verifying financial and demographic information as needed. Correctly determines patient financial status to ensure financial obligations to hospital will be met.


Interacts with medical staff and Nursing regarding patient bed assignments and initiates patient registration.


Reviews all billing edits for accuracy to ensure timely corrections per department policy allowing the hospital to meet contracual obligations and comply with government regulations.


Prepares all billing to third-party payors and submits to appropriate party electronically or by hard copy. Corrects all rejected/incomplete claims and resubmits in Emdeon system.


Pursues third-party payors (i.e. Medicare, Medi-Cal, private insurance) until account is paid or is denied, while sending timely appeals adhering to payor requirements and/or regulations.


Interfaces with social service agencies. Refers patients to CHS Community Service Program when appropriate and ensures that applications are completed and determinations are made in a timely manner. Receives incoming calls from patients, medical staff, and third-parties regarding patient accounts while maintaining established patient confidentiality guidelines.


Determines costs and explains self-pay portions of accounts with patients. Establishes acceptable payment plans on self-pay liabilities with appropriate documentation noted in Sunrise System per departmental policy.


Meets established productivity goals according to departmental policy.


QUALIFICATIONS


LEVEL OF EDUCATION


Minimum: High school diploma with some college coursework


Preferred: Associate and/or Bachelor's degree


TECHNICAL REQUIREMENTS


Minimum: Basic MS Word and Excel skills. 35 wpm keyboarding/typing speed. Basic math skills.


Preferred: Advanced knowledge of MS office, including PowerPoint.


YEARS OF RELATED WORK EXPERIENCE


Minimum: 1 year in an office environment or Associate's or Bachelor's Degree.


Preferred: Related work experience in a healthcare environment, with a working knowledge of medical terminology.

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