Financial Counselor

Financial Counselor

Review Patient Access Tool and visits in-house patients; collects estimated patient portion amounts; works closely with outside agencies to ensure patient coverage.

Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.

• To obtain patient's insurance information, determine estimated patient portion due and communicate it to the patients to make them aware of their financial responsibilities.
• To verify and update the patient's medical record related to their demographic and insurance benefit information, etc.
• To constantly monitor, maintain, analyze and update the financial status of the patients to ensure that all the accounts are maintained at acceptable limits.
• Visit all self-paying patients in-house.
• Provide estimates to patients and / or physicians as requested.
• Generate insurance verification and precertification reports daily and follow up with case management and insurance verification departments as appropriate.
• Post Emergency Room (ER) and Patient Access deposits into PA system.
• Contact insurance companies for patient benefits and precertification requirements as needed.
• Review Patient Access Tool daily for visits exceeding the original length of precertification and work closely with utilization review for concurrent certification.
• Assist patients with payment arrangements and charity applications.
• Work closely with outside agencies in helping patients apply for Medicaid and state aid.
• Maintain insurance files regarding updates and changes.
• Forward problems or concerns to Patient Access Manager.
• Enter pertinent insurance information into Certified Provider Credentialing Specialist (CPCS) and prorate account.
• Enter notes into the collections system for all patient encounters.
• Maintain professional image and implement excellent customer service to customers.
• Complete financial analysis and collect estimated patient liabilities.
• Follow up with patients for necessary signatures if they were incomplete at time of hospitalization.
• Consistently receive and receipt payments from patients for hospital services in accordance with internal cash control procedures.
• Interact with Patient Account Services Insurance Verification Department in establishing up-front payment arrangements with patients.
• Attends in-service presentations, and completes mandatory education week, including but not limited to infection control, patient safety, quality improvements, Material Safety Data Sheets (MSDS) and Occupational Safety and Health Administration (OSHA)
• Demonstrates knowledge of occurrence reporting system and utilizes system to report potential patient safety issues.

Performs other duties as assigned.

Education : High school diploma or GED required.

Experience : 0 - 3 years of experience.

Licensure / Certifications / Registrations Required : None required.

OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.