Pre Access Financial Counselor

  • Mission Health System
  • Asheville, NC, USA
  • Aug 15, 2019
Administrative / Clerical

Job Description


Role Summary: The Financial Counselor is primarily responsible for assisting patients or patient representatives with their financial obligations. The Counselor researches accounts based on departmental policies and procedures in order to identify, based on predetermined regulatory criteria, options available to the patient. This role discusses expected medical expenses with patients, attempts to collect and screens patients for Medicaid eligibility, financial assistance or other discount programs. The Counselor demonstrates knowledge of governmental regulations and an exceptional understanding of insurance and coordination of benefits. This role interfaces directing with patients, pre access services, registration representatives, Medicaid assistance counselors, care management, and customer service representatives across the Health System. The Financial Counselor may be required to round in patient care areas and maneuver a workstation on wheels.Skills, Knowledge, Abilities:The Financial Counselor should be well-versed in insurance terminology and know how to verify insurance coverage, and interpret benefits and patient liability. The Financial Counselor should understand regulatory compliance and insurance company requirements, and also have a functional knowledge of how Medicare and Medicaid programs work. The Financial Counselor should be familiar with researching and accessing resources for financial assistance programs available for patients.

Required Education: High School Diploma or Equivalent

Preferred Education: Associate's Degree or higher

Required Experience: Minimum of two years' experience in a related healthcare field or in lieu of healthcare experience, 5 years of work experience in business, retail or banking environment. Strong writing and verbal communication skills.

Preferred Experience: Five years of experience in a medical services front office, coding, customer call center, insurance benefits and authorizations, or medical collections position. Experience with Cerner Millennium, Allscripts Enterprise Practice Management System, Healthquest, Artiva, Insurance claims and Medicaid eligibility.Qualified Spanish-speaking applicants encouraged to apply.

ABOUT MISSION HEALTH

Mission Health, an operating division of HCA Healthcare, is based in Asheville, North Carolina and is the state's sixth largest health system. In 2018, for the sixth time in the past seven years, Mission Health has been named one of the nation's Top 15 Health Systems by IBM Watson Health (formerly Truven Health Analytics). Mission Health is the only health system in North Carolina to achieve this recognition. Mission Health operates six hospitals, numerous outpatient and surgery centers, post-acute care provider CarePartners, long-term acute care provider Asheville Specialty Hospital, and the region's only dedicated Level II trauma center. With approximately 12,000 colleagues and 2,000 volunteers, Mission Health is dedicated to improving the health and wellness of the people of western North Carolina. For more information, please visit missionhealth.org or @MissionHealthNC .

Mission Health is an Equal Opportunity Employer, and as such offers equal employment opportunities to applicants and employees without regard to race, color, religion, national origin, age, disability, gender, gender identity, sexual orientation, genetic information, protected veteran status or any other protected characteristic.

Reference

2019-42901