UC Health Financial Counselor - Lindner Center of HOPE - Registration in Lindner Center of Hope - 4075 Old Western Row Road - Mason, Ohio
Title: Financial Counselor
Location: Lindner Center of HOPE, Mason Ohio
Hours: 40 hours per week
The Financial Counselor serves as the primary contact for patients and families regarding financial assistance, insurance coverage and pre service payment. This position is responsible for the process of admitting new inpatients to the facility during the business day. This position is responsible for conducting financial interviews with patients, Sibcy residential patients, and any outpatients. The Financial Counselor works with health insurance providers to determine coverage and benefit limits and provides information regarding hospital payment options, and financial assistance programs completing the necessary forms and applications in accordance with hospital policies.
Major Duties and Responsibilities:
Meets with all inpatient admitted during the business day to complete the formal admission into the Avatar system by collecting patient demographic and insurance information. Will also take the patient’s picture and apply the image in Avatar to be used on the patient face sheet and wristband.
a. Meets with patients on the unit to obtain information that was not collected during the admission process.
b. Performs a daily audit of admissions to Inpatient, Residential, PHP and IOP programs to ensure all of the required demographic, insurance and required financial forms and contracts are obtained and documented in the electronic medical record.
Assigns the proper guarantors to the client account for proper system handling.
Obtains Inpatient, Residential, PHP and IOP benefits for each admission. Conducts a review of insurance coverage or self pay liability.
Discuss benefit information in detail with patient or financially responsible party. Collects deductible, co pay and/or self pay liabilities from patients when applicable.
Sets up an episode for professional service billing in LCPA.
Assesses the patient’s need for financial assistance during the admission process or at a time prior to the patient’s discharge.
Determines patient eligibility for Charity care for inpatient/outpatient level of care. Completes reviews and approves the charity application in accordance with the LCOH charity care policies. Obtains the final approval of the application from the Revenue Cycle Director prior to notification to the patient or family. Determines when renewal of charity applications need completed.
a. Sends letter to patient notifying them of eligibility for charity care and charity amount.
Assigns the proper Financial Assistance guarantors to the client account for proper system handling.
Meets with the Utilization Review team on a weekly basis to discuss admissions that are a financial risk to the center.
Works closely with the Sibcy House Coordinator to negate financial clearance for all Sibcy House admissions including:
a. Obtaining residential insurance benefits,
b. Coordinate the collection of the self pay liability for admission from the patient or financially responsible party,
c. Review the process for filing insurance claims for residential services,
d. Meet with patient to discuss Sibcy Claims Processing and Appeals Service and collect payment for the service if requested. Post the charge for this service in Avatar once the payment is received.
e. Meet with the Sibcy House team routinely to discuss admissions, extensions and discharges from the program and the financial obligations related to each. If an extension is necessary, follow up with patient or financially responsible party to obtain a signature on the Sibcy House Private Pay Agreement and obtain payment.
f. Update all Sibcy House payment information on the Sibcy House spreadsheet which is utilized by the billing department to enter the appropriate adjustments on the patients account.
Completes a note in the system on all discussions, events and outcomes regarding patient accounts.
Corrects the pre-bill exception report daily for inpatient accounts.
Conducts a daily export and report gopher to create outpatient scheduling reports.
Responds to all inquiries regarding patient accounts, financial assistance policy and network status.
Stays abreast of third party payer requirements. Attends seminars and courses on relevant topics as directed by direct management.
Completes productivity requirements timely and accurately
.Maintains effective communication and cooperative working relationships with other departments, staff, medical staff, patients, and visitors.
Patient communication is conducted in a manner that will result in positive patient relations and prompt payment for Lindner Center of HOPE.
This position works closely with Intake, Sibcy House, Central Registration, Medical Records, Social Services, Utiliazation Review and Billing on a daily basis.
Performs all other duties as assigned.
High school diploma required; Associates degree preferred.
- Minimum of 3 years experience in healthcare required. Experience working in mental health setting preferred.
- Must have experience as a financial counselor conducting face to face interviews with Collections and/or Medical Billing experience.
- Must have a working knowledge of third party payer contract terms and the ability to calculate patient liabilities.
- Excellent communication, customer service and math skills along with a high degree of confidentiality are required.
- Must have strong computer skills including Excel and Word.
- Analytical and decision making skills with a strong attention to detail required
Ability to enthusiastically follow and model the Lindner Center of HOPE mission, vision and values.
The physical demands of this position are consistent with those performed in a normal office environment, including occasional lifting, carrying, pushing or pulling, and sufficient manual dexterity to operate standard office equipment and ability to use to use a computer . Must be able to easily move throughout the building.
Organization: *Lindner Center of Hope
Title: Financial Counselor - Lindner Center of HOPE - Registration
Location: Lindner Center of Hope - 4075 Old Western Row Road - Mason, OH
Requisition ID: 048771