JOB TITLE: Financial Counselor & Utilization Review Assoc. | Business Office Liaison

DEPARTMENT: A & R

REPORTS TO: A & R Department. Dotted Line report to Corporate Revenue Cycle Manager

POSITIONS SUPERVISED: No direct reports.

FLSA STATUS: Non-Exempt

SUMMARY OF MAJOR AND ESSENTIAL FUNCTIONS:

- Represents the Hospital in financial matters pertaining to obtaining payment on patient accounts during pre-admission and inpatient phases of the patient's visit.

- Meets with Guarantor before or after Family Therapy sessions as needed.

- Acts as intermediary with Admitting, Central Business Office, patients and family members while the patient is hospitalized.

- Backs up Assessment & Referral Department with Insurance Verification process. Performs secondary verifications when necessary.

- Deal directly with patients and responsible parties to review costs, insurance coverage and payment requirements.

- Maintains the Upfront Collections Log.

- Identifies Estimated Patient Responsibility amount upon Admission, or shortly thereafter, and collects all copay, deductible, and coinsurance amounts.

- Revises Estimated Patient Responsibility at discharge.

- Meets with discharging clients to discuss Financial Obligations, collect estimated Client Responsibility amount, verify all Admission/Financial Paperwork has been completed, obtain copies of ID and Insurance Cards if necessary, and answer non-clinical questions pertaining to hospitalization.

- Maintains Financial Files for each admitted client.

- Effectively uses reporting tools to follow up on past due accounts.

- Responsible for following up on all Time Pay Arrangements

- Scans Financial/Admission paper work into HCS.

- Assists in completing Medicaid Application. Follows up with Guarantor to ensure Medicaid Application has been completed and submitted.

- Checks Medicaid eligibility at least weekly for those clients who have submitted Medicaid Applications.

- Completes Promissory Notes for clients who are unable to pay in full by the time of discharge.

- Processes refunds and payments as necessary, promptly responds to patient inquiries.

- Prepares supporting documentation for patient file upon write-off to bad debt or denial accounts.

- Serves as a Liaison with the Central Business Office (Alpharetta, GA) in responding to information requests related to claim denials or missing information that delays claim submission.

- Ensures client demographic and insurance information in HCS is accurate.

- Attends Revenue Cycle Department meetings as needed.

- Performs Daily Census Reconciliation to ensure Charge Capture process is accurate.

WORK DAYS /CORE HOURS: Monday – Friday, 8:00am-5pm

REQUIRED KNOWLEDGE, SKILLS AND EDUCATION

- Associates in Health Care or Business.

- Three to five years Financial Counseling, Hospital Revenue Cycle, and/or Collections/reimbursement experience required.

- MS Excel, Word, and Outlook proficiency required.

- Demonstrates excellent customer service techniques with effective verbal and written communication skills.

- Must be detail oriented and able to manage multiple tasks while working independently.

- Knowledge of HIPAA, Medicare regulatory compliance and medical terminology

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Physical setting:

• Office

Schedule:

• 8 hour shift
• Monday to Friday
• On call

Ability to commute/relocate:

• Springfield, MO 65803: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Financial concepts: 1 year (Preferred)

Work Location: One location

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