Location:
Dodson Medical Office Building
Department:
Heart Transplant
Shift:
Varying Shifts (United States of America)
Standard Weekly Hours:
40
Summary:
The Financial Counselor will financially screen patients/legal representatives in accordance with the Financial Policy. This position requires knowledge of tasks performed in the various areas of Patient Registration and Single Billing Office. This position requires knowledge of state, federal and system financial assistance programs. This position also requires timely completion, preparation, and deployment of legal documents, and financial assistance applications, i.e.. Medicaid, CSHCN, CCMC FQ applications. The Financial Counselor is responsible for maintaining knowledge of JCAHO, HIPPA, and Patient Rights & Responsibilities. Financial Counselor will maintain a high degree of knowledge about Revenue Cycle drivers, Medicaid, Commercial Insurance, Limited Benefit Plans, and cost sharing plans. The incumbent will be responsible for maintaining knowledge of the Financial Policy, Charity. Financial Counselors are responsible for securing Financial Clearance for all emergency admits and all scheduled procedures both Inpatient and Outpatient. Knowledge of CPT codes and all relevant NPI and TPI is essential for securing correct authorizations and referrals.
Responsible for completion of pre-certification and verification of benefits on all inpatient, observation, and outpatient accounts: including benefits for prescription drugs, organ transplants, follow up clinic visits. Works closely with the International Department to secure authorization/payments for patients traveling from foreign countries to have service at Cook Children's Medical Center.
Education & Experience:
High School Diploma or equivalent required.
Minimum 3 years Hospital, Financial Counseling, or Physician Office Experience required
Knowledge of government programs, HMOs, PPOs, Commercial Payors, required
Strong verbal and written communication skills
Typing and Computer experience required.
Knowledge of ESRD preferred.
Bi-lingual preferred
Preferred Skills/Experience:
Strong critical thinking, time management, problem-solving, and customer service skills
Transplant coordination experience preferred
Knowledge of Patient Access Services functions
Experience verifying insurance eligibility, benefits, prior authorizations, and referrals
Extensive knowledge of HMOs, PPOs, Commercial Payors, HSAs, COBRA, Medicaid, STAR plans, CSHCN, CHIP, and financial assistance programs
Detail-oriented, adaptable, and professional in handling challenging situations
Ability to communicate effectively with internal and external providers
Strong documentation skills
Certification/Licensure:
Hours:
About Us:
Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.
Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.