Financial Counselor

JOB SUMMARY

Assists patients with financial needs and assigns accounts for further collection as warranted. Works with patients at point of pre-admission/pre-registration, admission, in-house and discharge to educate patients about amounts due and request payment or make satisfactory payment arrangements.

JOB REQUIREMENTS

Minimum Education

§  High School Diploma or equivalent is required.

Minimum Work Experience

§  Prior hospital collection experience or physician office experience preferred.

§  Require Certified with Kentucky KYMMIS,KYNECT Web Portals. (90 Days to achieve certification)

§  On the job training will be provided.

§  Ability to deal with pressure and complaints.

§  Excellent oral and written communication skills required.

§  Phone collection work required.

• Computer skills required.

§  Present oneself in a professional manner through appearance and conduct.

FUNCTIONAL DEMANDS

Physical Requirements

Sitting – Greater than 32%

Walking - 1-15%

Standing - 1-15%

Bending/Squatting - 1-15%

Climbing/Kneeling - 1-15%

Twisting - 1-15%

OSHA Category

Minimal Potential for Direct Body Fluid Exposure

Visual and Hearing Requirements

Must be able to see with corrective eyewear.

Must be able to hear clearly with assistance.

Other Physical/Environmental Demands

Lifting - 0-50lbs, 50lbs or more with assistance

Carrying - 0-50lbs, 50lbs or more with assistance

Pulling - up to 100lbs 

Pushing - up to 100lbs

LEADERSHIP CAPABILITIES

Supports the hospital Mission, Service and Values.

ESSENTIAL FUNCTIONS

§  Review daily IP, ER, Surgery and OP admissions that are Private Pay

§  Responsible for financially clearing patients at ER, hospital bedside or OP registration to obtain cash payment or determine eligibility for various governmental programs.

§  Conduct interview with patients and / or family members

§  Records and maintains complete documentation of activities performed on account while in-house

§  Notifies hospital case management, social services and admission staff of case screening determinations and outcomes via verbal and written communications

§  Calculate and collect cash payments appropriately for all patients, including accounts in Bad Debt

§  Screen private pay patients for Medicaid coverage and makes Medicaid application for qualified applicants.

§  During open enrollment, assist patients with applying for coverage via the Kynect system.

§  Screens patients and refers to Care Payment for monitoring of monthly pay arrangements.

§  Runs credit reports when necessary to confirm individual patient financial condition and eligibility for monthly pay arrangements

§  Advises self-pay patients of their medical and dental care options available in the community for future follow-up care

§  Explains hospital regulations, such as visiting hours, payment of accounts, charges, etc.

§  Participates in data gathering for financial reporting

§  Set up arrangements / monthly installment plans for patients to payoff balances within the guidelines of TJ Regional Health collection policy.

§  Reconciles accounts with outsourced vendor and secondary collection agencies

§  Work at a minimum of 20 accounts per day. This includes making at a minimum of 20 phone contacts per day to assist patients with financial alternatives.

§  Works bankruptcy and estate accounts for correct documentation before write off

§  Maintain a knowledge base of programs offered by TJ Regional Health and other governmental programs

§  DSH

§  501r

§  Charity Program

§  Performs other duties as assigned