Financial Counselor I - York Hospital - Days

Duties and Responsibilities

Essential Functions:

• Interviews patients or responsible individual(s) to determine present and future financial status and ability to pay medical and/or personal obligations.
• Secures information relative to patient's financial status or insurance coverage. May complete insurance forms, verify insurance coverage, and secure other information as needed.
• Counsels patients requiring external financial assistance, including recommending third parties.
• Refers patients appropriately for completion of applications for medical assistance.
• Interacts with collection agencies. Primary focus is current patient balances.
• Reviews accounts and maintains contact with third parties to ensure timely payments.
• Completes applications for uncompensated care. Notifies patients of uncompensated care determinations.
• Follows policy for outstanding current balance collection efforts and reviews accounts on a scheduled basis.
• Serves as information resource to patients and System staff regarding credit and collection policies, procedures, and payment assistance options.
• Answers inquiries from patients, doctors' offices or third-party payors and follows through to resolution.
• Interprets and explains to patients and their families the charges, services, and policies regarding payment of bills.
• Initiates the process for refund of overpayment to patients, guarantor, or third-party payors after researching to verify credit balance is correct.
• Completes assigned work queues within designated time.
• Performs various functions to complete and expedite the billing process including, but not limited to, escalation to billing leadership, recording patient identification data, investigating charges, correcting data, and preparing the claim to bill
• Resolves billing problems and/or receives insurance updates.
• Posts all payments and adjustments to the correct patient's account.
• Completes patient estimates in the work queue and estimate requests per guidelines.
• Completes review of deceased patient accounts per policy and guidelines.
• Manages department email and voicemail.
• Maintains confidentiality and follows HIPAA compliancy.

Common Expectations:

• Maintains established policies and procedures, objectives, quality assessment and safety standards.
• Participates in educational programs and training.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.