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Access Financial Counselor

Methodist Health System Omaha, NE
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Job Description

  • Purpose of Job
    • The Access Financial Counselor works in an office environment and spends a great deal of time on the computer. They interact with patients in person and over the phone. Must be able to work alone and as part of a team.
  • Job Requirements
    • Education
      • High School Diploma or General Educational Development (G.E.D) required

    • Experience
      • Minimum of 1 year experience in a call center or healthcare setting, preferably customer service, including general knowledge of insurance billing.

    • License/Certifications
      • Requires the ability to provide transportation to other campus locations within a reasonable timeframe.

    • Skills/Knowledge/Abilities
      • Ability to talk to patients and ask for payment upfront.
      • Must be able to go to patients rooms and discuss payment options with them.
      • Ability to manage difficult or emotional patients by remaining professional and delivering excellent customer service.
      • Must have strong communication skills, both verbal and written.
      • Responsible for preparing, auditing and reviewing financial assistance worksheets.
      • Will assist patients both in person and over the phone and collect any self-pay balances, following department guidelines.
      • Demonstrates a strong ability to identify, analyze, and solve patient concerns.
      • Ability to prioritize and manage multiple day to day tasks.
      • Strong computer skills.
  • Physical Requirements
    • Weight Demands
      • Sedentary Work - Exerting up to 10 pounds of force. Sitting most of the time. Walking and Standing are required only occasionally.

    • Physical Activity
      • Not neccessary for the position (0%):
        • Climbing
        • Crawling
        • Kneeling
      • Occasionally Performed (1%-33%):
        • Balancing
        • Carrying
        • Crouching
        • Distinguish colors
        • Lifting
        • Pulling/Pushing
        • Reaching
        • Standing
        • Stooping/bending
        • Twisting
        • Walking
      • Frequently Performed (34%-66%):
        • Grasping
        • Repetitive Motions
        • Speaking/talking
      • Constantly Performed (67%-100%):
        • Fingering/Touching
        • Hearing
        • Keyboarding/typing
        • Seeing/Visual
        • Sitting

    • Job Hazards
      • Not Related:
        • Chemical agents (Toxic, Corrosive, Flammable, Latex)
        • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
        • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
        • Equipment/Machinery/Tools
        • Explosives (pressurized gas)
        • Electrical Shock/Static
        • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
        • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
        • Mechanical moving parts/vibrations
  • Essential Job Functions
    • Essential Functions I
       

      • Contacts patient with Pav Nav Estimate and collects payments upfront. Sets up appropriate pay arrangement and documents billing system.
        • Calls on patients scheduled within 48hrs on their procedure.
        • Documents the amount that will be paid.
        • Follows up on payment arrangement.
        • Will meet monthly/yearly department POS Collection Goal.

      • Answers patients' questions, resolves billing, refund or collection problems, collects payment on accounts, and adds correct pay arrangements.
        • Answers phones promptly and questions and concerns are resolved at that time. If unable to resolve over the phone, follow-up should be made promptly.
        • Is compliant and knowledgeable on Charity Care policy and Credit & Collection policy.
        • Knowledgeable on bank loan application.
        • Knowledgeable on cosmetic and bariatric surgery plans and prepaid OB plans.

      • Reviews daily mail and referrals, performs account audits, checks status of accounts on computer and determines any action to be taken within a five-day turnaround.
        • Reads account notes thoroughly.
        • Appropriate action should be initiated within a week of receipt of any mail or referral.

      • Documents in billing systems any action taken in handling accounts.
        • Documentation needs to be completed immediately following action taken on accounts.
        • Documentation is clear and precise and details in full the action taken.

      • Uses appropriate action codes and documents daily productivity.
        • Reviewed weekly by the lead.
        • Achieves department standards of 90% accuracy on productivity.

      • Reviews accounts referred by supervisor, MASH or reports, and determines appropriate action, which includes contacting patients, insurance companies, attorneys, and other providers, or other hospital staff or departments as indicated.
        • Completes in the time frame requested by supervisor.
        • Follows up in a timely manner.
        • Goes to patients rooms ASAP after receiving referral.

      • Reviews Financial Assistance Applications under $5,000.00.
        • Completes reviews in 5 days upon receipt.
        • Reviews entire account notes.
        • Worksheet is completed accurately.

    • Essential Functions II
       

      • Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.

      • Follows and understands the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.

      • Other duties as assigned.








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