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Job Family:
Admitting Representative
Travel Required:
Clearance Required:
What You Will Do:
The Financial Counselor is responsible for POS payments for patients receiving or who have received services at the facility. This position estimates patient liability for services rendered and communicates with patients regarding financial responsibility. Patient portions due, are to be collected before patient discharge. Financial Counselor is responsible for multitasking to ensure the processes and follow through with the patient and other involved parties are completed daily or weekly. This position at located in the Kirklin Clinic with a schedule of Monday-Friday, 9:00am-5:00pm. Please note, this schedule is subject to change depending on hospital census and the needs of the business.
Duties and Responsibilities:
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.
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.
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.
Communicates daily with co-workers, hospital, and management regarding 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, positive, and professional communication at all times.
Should not at any time indicate or suggest to the patient that they will be relieved of the debt via a write-off to charity care until the determination has been made.
Assist all walk-in patients with liquidation options on accounts.
Performs all related job duties as assigned.
What You Will Need:
High School Diploma, GED or equivalent work experience required.
1-3 years’ experience with medical terminology, data entry, prior admitting, entitlement, business office or physician office experience.
PC skills in a Windows environment are required.
Working knowledge/experience of Federal, State and County eligibility programs.
Must be able to type 35-45 words per minute.
What Would Be Nice to Have:
Bilingual (English/Spanish) preferred.
Knowledge of MS4 helpful.
Excellent interpersonal skills.
Ability to initiate and follow through on projects and work independently.
Excellent written and verbal communication skills.
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What We Offer:
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
About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
