Financial Counselor at WMC Health Network in Suffern, NY

The Financial Counselor receives and interviews patients to obtain demographic and insurance information, and enters and retrieves data on automated systems utilizing specialized software programs in accordance with established procedures and regulatory requirements including HIPPA. In addition, the Financial Counselor accepts payments and performs cashiering and routine financial record keeping duties and monitors and trends specific data for quality improvement measures and initiatives

RESPONSIBILITIES:

· Interviews patients and advises of insurance benefits and non-covered amounts.

· Verifies insurance coverage, conducts accounts receivable inquiries, insurance proration and verification, and inquiry functions on hospital system.

· Reviews and audits documents to identify clerical errors for quality assurance measures.

· Identifies, analyzes, prioritizes and resolves account problems.

· Prepares documents and reports as needed.

· Counsels and assists patients with financial assessments and financial statements.

· Reviews patient data for charity eligibility, and determines patient’s self-pay amount.

· Advises patients of amounts due, and requests payment on self-pay balances at time of service.

· Obtains medical information on uninsured admissions and determines estimated costs.

· Contacts patient to provide deposit requirements, and establishes payment arrangements.

· Obtain signatures from patient or patient’s family during registration process including Medicare forms.

· Registers patients and performs transactions on MedAssets, Work Queues and specialized software programs.

· Performs cashiering duties, processes patient payments and deposits.

· Responds to billing questions or concerns from patient or patient’s family.

· Prepares self-pay documents and census reports.

· Enters patient financial arrangements data in ConnectCare for account follow-up and to ensure denial protections.

· Travels throughout facilities to provide coverage as scheduled.

· Reviews documentation requests and prints itemized bills for patients in accordance with established procedures.

· Coordinates self-pay and indigent financial assistance eligibility through vendor

QUALIFICATIONS / REQUIREMENTS:

1-2 years of patient registration or medical billing experience required

Education:

A high school diploma or equivalency required

Other:

If applicable, the individual performing this job may reasonably anticipate coming into contact with human blood and other potentially infectious materials. Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.