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Financial Counseling Specialist, Full Time- St. Charles

Job ID: 4671568
Updated: December 6, 2018
Geographic Location: Toledo
Department: Patient Access Registratn
Full/Part Time: Full-Time
Shift: Days
Standard Hours: 40
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Job Summary

This position is located onsite with Mercy Health, a client of Ensemble Health Partners. To learn more about Mercy, click the link below to apply.

 Financial Counesling Specialist

 The Specialist in Financial Counseling performs the task of collecting inpatient, observation, and outpatient in a bed liabilities throughout Mercy Health. This position is responsible for the accurate calculation of patient liabilities including previous balances, and the collection of patient payments, and may require nights, weekends, and holidays as necessary.  They are responsible for performing these functions while meeting the mission and goals of Mercy Health ministry and all regulatory compliance requirements.  The Specialist in Financial Counseling will work within the policies and processes as they are being performed across the entire organization.  
           

Responsibilities:

  • Financial Counseling staff are responsible for the assessment and collection of patient liabilities.  These collections include copays, deductibles, co-insurance and balances after financial assistance.  This individual is tasked with assessing patient insurance and financial information to determine liability.  The Specialist in Inpatient Collections will utilize face to face communication with patients during their stay to collect the estimated patient liability.
  • Financial Counseling Specialists are responsible for working various patient access, insurance eligibility, follow-up reports as assigned.
  • Financial counseling staff are responsible for pre-registration and registration tasks including, but not limited to, the registration of patients at the time of service, or prior to the date of service while attempting to collect the patients financial liability.
  • The financial counselor will note all accounts with a patient liability on a daily basis.  When collection attempts are successful, the financial counselor must make a note of the collection.  If the Financial Counselor is unable to collect payment, a note must be placed daily as long as the patient remains in the facility as to the reason the patient is unable to pay and including a note in the system.
  • The financial counselor will monitor missed collection opportunities for potential process improvements and follow-up.  Financial Counseling staff must make at least 3 attempts each day to visit a patient's room if the patient is otherwise preoccupied in previous attempts. 
  • The Financial Counselor will make follow-up phone calls to patients that are unable to make payment while in-house.  The Financial Counselor must attempt to contact the patient within 24 hours post-discharge, and continue these attempts each 15 days until a collection has been made, or 2 months has elapsed.

Qualifications:

  • High School Diploma or GED
  • 1-2 years experience in healthcare industry
  • Certified Healthcare Access Associate (CHAA) and or Certified Revenue Cycle Representative (CRCR) required within 3 months of hire
  • Understanding of Revenue Cycle including admission, billing, payments and denials.  Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.  Knowledge of Health Insurance requirements. Knowledge of medical terminology or CPT or procedure codes.
  • Combination of post-secondary education and experience will be considered in lieu of degree

Mission and Values:  

It is expected that all of the duties and responsibilities of this position will be performed in a manner consistent with the Ministry’s Standards of Behavior (CARE; Compassion: seeks to understand, listen and explain; Advocate: is the voice for the vulnerable;  Respect: demonstrates the highest regard for and welcomes all people; Excellence: commits to the highest standard of quality care, joyful service, and teamwork) and in a manner that reflects the core values of Mercy Health which are: Excellence, Human Dignity, Justice, Compassion, Sacredness of Life and Service. All supervisors and above are expected to model the organizational mission and values through their daily actions, decision making and priority setting. All supervisors and above are expected to develop, implement and monitor short and long range plans to meet or surpass standards consistent with the overall strategic plan. 

 

Shift and Job Schedule

Job Shift: Days 8:00am - 4:30pm.

40 HPW

Job Schedule: Full-Time

Rotational weekends and holidays.

Equal Employment Opportunity

It is our policy to  abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a), prohibiting discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibiting discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin.

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