Patient Financial Counselor

• Determines patient responsibility and eligibility through Insurance, Federal, State, and/or County government benefits.

• Reviews accounts for proper plan codes, financial class, and patient type.

• Contacts appropriate agencies to verify assumptions of liability.

• Investigates alternate payment sources for self-pay patients. Negotiates flat rates on accounts where the patient has no linkage to government programs.

• Does bedside with patients and informs them of financial responsibility prior to discharge.

• Sets up payment plans with patients prior to discharge and documents payment arrangements in patient accounting systems. Provides patient with mailing envelops and payment dates before discharge.

• Collects monies from patients when there is an estimated patient liability due on the account.

• Monitors Medicare days and co-insurance days on in-house patients. Reviews all in-house Medicare accounts on the 1st and 15th of each month. Updates account with Eligibility info in detail. 

• Represents the patient(s) at Medicaid or SSI fair hearings/appeals.

• Interviews uninsured patients for eligibility in Federal, State and County assistance programs prior to discharge.

• Completes Financial Assistance Applications or Charity Applications with uninsured and/or underinsured patients prior to discharge. Completes application and attests to the accuracy of the information by signing the application.

• Interfaces with facility Social Services and Case Management Departments regarding inpatient admissions and discharges.

• Documents all payer and patient financial information in the hospital computer system.

• Responsible for the retrieval of Inpatient Census patient information within the facility to follow up on In House patients no insured or under insured.

• Obtains complete and accurate patient information including possible insurance(s), and financial information by communicating with patients, family members, and physicians regarding their stay.

• Follow up with patients and agencies to ensure eligibility for date(s) of service.

• Educates patients on eligibility status and needs to obtain eligibility.

• Manages a group of accounts daily in accordance with hospital standards. Ensuring accounts that have had a financial application have been approved or denied or accounts pending eligibility have been approved or denied.

• Communicates daily with co-workers, hospital and management in regard to account progress and/or other issues.

• Utilizes organization and prioritization skills in their daily tasks. Utilizes time management skills to ensure completion of daily processes.

• Must maintain open and positive professional communication orally and written at all times.

• Should not at any time indicate or suggest to the patient that they will be relieved of the debt by the way of a write-off to charity care until the determination has been made.

• Assist all walk-in patients with liquidation options on accounts.

• Demonstrates the ability to secure patient cooperation and participation in the eligibility process and acting as their authorized representative assists in completing and submitting required documentation to Medicaid eligibility department.

• Conducts home visits as needed or required.

• Performs all related job duties as assigned.

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program