Job Family:

Admitting Representative

Travel Required:

None

Clearance Required:

None

What You Will Do:

The Financial Counselor is responsible for program eligibility and 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. The Financial Counselor is also responsible for screening patients for program eligibility and communicating with Guidehouse such findings. The Financial Counselor is also responsible for assisting patients with the completion of applications. This position will also assist in coordinating efforts between the patients, hospital, doctors and third-party agencies to obtain info needed eligibility process. Must accurately collect and input patient eligibility and status information into the system. 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.

Schedule: This is a full time position working DAYS, Monday-Friday 8:00AM - 4:30PM PST and one weekend per month.

• 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.

• Investigates alternate payment sources for self-pay patients. 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.

• Interviews uninsured patients for eligibility in Federal, State and County assistance programs prior to discharge.

• Completes Financial Assistance Applications or Charity Applications with uninsured and/or underinsured patients prior to discharge. Completes application and attests to the accuracy of the information by signing the application.

• 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.

• Follow up with patients and agencies to ensure eligibility for date(s) of service.

• Educates patients on eligibility status and needs to obtain eligibility.

• Manages a group of accounts daily in accordance with hospital standards. Ensuring accounts that have had a financial application have been approved or denied or accounts pending eligibility have been approved or denied.

• Communicates daily with co-workers, hospital and management in regard to 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 and positive professional communication orally and written at all times.

• Should not at any time indicate or suggest to the patient that they will be relieved of the debt by the way of a write-off to charity care until the determination has been made.

• Assist all walk-in patients with liquidation options on accounts.

• Demonstrates the ability to secure patient cooperation and participation in the eligibility process and acting as their authorized representative assists in completing and submitting required documentation to Medicaid eligibility department.

• Conducts home visits as needed or required.

• Performs all related job duties as assigned.

​ What You Will Need:

• High School Diploma or GED.

• At least one year of relevant experience.

• Computer skills in a Windows environment are required.

• Knowledge of Word and Excel are required.

What Would Be Nice To Have:

• Experience: Medical terminology, data entry, prior admitting, entitlement, business office or physician office experience preferred.

• Bilingual (English/Spanish) preferred.

• Healthcare background preferred.

• Working knowledge/experience of Federal, State and County eligibility programs.

• Excellent interpersonal skills.

The annual salary range for this position is $43,400.00-$65,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

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.