Job description
JOB SUMMARY:
The Pre-Access Services Patient Financial Counselor completes and coordinates front-end activities associated with patient financial processing in Pre-Access Services functional areas. Processes financial clearance tasks, including creating estimates, obtaining and evaluating patient health plan benefits, and requesting prior authorization. Arranges payment options with patients. Collects up-front payments according to LHC procedures.
The Pre-Access Services Patient Financial Counselor assists in the analysis and caring resolution of patient issues and concerns about patient accounts. Accurately documents patient interactions based on departmental protocols, policies, and procedures and in compliance with state and federal regulations. Maintains excellent working relationships with Livingston HealthCare department staff as well as community providers and their staff.
Schedule:
- 1.0FTE (40 hours)
- Mon-Fri
ESSENTIAL FUNCTIONS, DUTIES AND RESPONSIBILITIES:
- Answer the Customer service phone line as part of the ACD team.
- Coordinate with departments to process the financial clearance of scheduled patient services.
- Insurance verification and benefit assessment for assigned services
- Prior authorization processing as assigned
- Up-Front payment estimation and collections.
- Patient coverage discovery
- Quality assurance on patient account registrations
- Communicate with the patient following LHC Standards of Excellence and via established methods the expectations of LHC business services.
- Analysis of Patient Accounts and compassionate explanation of expected charges, services, and hospital policy to patients and their families.
- Counsel patients needing internal and external financial assistance, including recommending third parties.
- Obtain and maintain a CAC with the Affordable Care Act
- Perform related duties as assigned.
OTHER FUNCTIONS, DUTIES AND RESPONSIBILITIES OF ALL EMPLOYEES:
- Supports and models individual behavior consistent with the Standards of Excellence and the mission, vision and values of Livingston Healthcare.
- Demonstrates commitment to customer service by:
- Building effective working relationships and treating others with respect.
- Interacting with customers (patients, co-workers and visitors) in a warm and friendly way.
- Taking immediate action to meet customers’ needs or request.
- Attentive to each customer concern.
- Demonstrates and encourages an ethic of open and effective communication and teamwork throughout the organization.
- Adheres to Livingston HealthCare’s Code of Conduct and Livingston HealthCare and departmental compliance policies.
The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements which may be inherent in the position.
QUALIFICATIONS (Required):
- Ability to Communicate Effectively.
- High School Diploma or GED
- Two years of customer service, business office experience, and credit and collection experience.
- Minimum of two years computer experience, which includes Microsoft Word, Excel, or similar programs
- Demonstrated ability to be accurate and attentive to detail
ADDITIONAL DESIRABLE QUALIFICATIONS:
- Mature personality, sense of responsibility, and integrity.
- Excellent organizational skills and time management skills.
- Analytical and decision-making skills.
- Ability to multi-task and maintain a flexible daily work schedule.
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