Description

JOB DESCRIPTION:

• Responsible for understanding, communicating, and administering financial policies and financial screening process to patients, patients families, and legal guardians in a hospital setting.
• Secure maximum reimbursement through up front identification and collection of patient liabilities via bedside, walk-in, phone inquiries prior to and up to the time of service.
• Requires knowledge of Medicare, Medicaid, and Third Party carriers, referrals and pre-certification procedures.
• The financial counselor position interacts with patients, families, and other hospital support services to assure team efforts in the care and handling of financial arrangements, account inquiry, and account reconciliation.Processes account adjustments as appropriate per established guidelines.
• Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by Emory Healthcare.
• Acts as a liaison between PFS and hospital operations to resolve customer/patient inquiries related to billing and patient/customer satisfaction in a timely manner.
• Completes COBRA forms and other needed documentation in a timely manner.
• Collaborates with Care Coordination, clinical staff, physician offices, and other internal/external agencies regarding patient resources and to ensure account resolution.
• Performs other duties as assigned. MINIMUM QUALIFICATIONS:
• High school diploma or equivalent.
• 3 years healthcare or related job experience preferred.
• Excellent interpersonal skills with the ability to speak and write effectively at a level appropriate for the job.
• Knowledge of Medicare, Medicaid, Third Party carriers, referrals and precertification procedures required.
• The following certifications are preferred: CHAA (Certified Healthcare Access Associate) and CPAR (Certified Patient Account Representative).
• Working knowledge of medical terminology, ICD, and CPT-4 basics. PHYSICAL REQUIREMENTS (Medium Max 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock , Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation , Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Financial Counselor EHI, Salary: $16.80- $27.70max/hour, The grade and salary of the position are based on specific criteria met within the qualifications of relevant experience, skills, performance and internal equity.