Financial Counselor 8:30am - 5:00pm

PIW is committed to improving the behavioral health care within our community by going beyond the traditional. We will continue to develop diverse and dynamic treatment programs and establish partnerships with others to understand and serve people where they live. Together we will build upon our strengths and human spirit to create a different future.

BASIC FUNCTION:

Acts as the Financial Case Manager, notifying patients or the responsible parties of the self-pay balance due and makes financial arrangements to collect and resolve the balance for inpatient and outpatient services. Meets individually with patients and their families to discuss insurance benefits and financial responsibility. Determines appropriate arrangements of all self-pay balances before patients are discharged. Acts as consultant to the Social Workers in evaluating financial situation, disposition planning, and extended length of stay. Internally, the incumbent will interface with hospital management and staff. Externally, the incumbent will interface with patients and their families, responsible parties, outside consultants, Medicare, Medicaid, and federal and local government agencies.

MINIMUM REQUIREMENTS:

Two years of college with concentration in business related coursework or minimum 6 years' experience in hospital billing and collections.

Medical Billing Certificate of course completion preferred.

CORE COMPETENCIES:

Knowledge of admitting, business office, and pre-admission principles, practices, methods and techniques within an acute healthcare setting.

Ability to communicate effectively, both orally and in writing.

Ability to deal with all third-party payors, patients, and family.

Ability to maintain patient confidentiality in all aspects.

Works closely with all clinical areas to assure collectability of cash.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Reviews every folder received from the admissions counselors to assure that all required information is complete.

Validates all new folders.

Acts as financial case manager to all patients admitted to the hospital for collection of self-pay balances.

Explains insurance benefits, pre-existing clauses and other information that will impact payment of hospital charges.

Explains hospital and physician billing procedures.

Determines portions reimbursed by insurance.

Determines the portion the patient will be responsible for.

Discusses and resolves options for payment of self-pay balances while patient is in-house.

Gets a completed financial statement for every self-pay admission.

Reviews financial statements and proof of income to determine eligibility for charity, care, administrative write-offs, fee reductions, or monthly payment agreements.

Maintains the admissions log for all patients admitted to the Hospital.

Makes appropriate contact within 48 hours of expiration of benefits to inquire about disposition planning for each patient.

With recommendation from social worker and program director, determines necessary financial action for an extended length of stay.

Closely monitors IOP/PHP delinquent accounts while patient is active in program.

Supports the admissions staff as necessary.

Demonstrates Service Excellence.

Performs all other duties as assigned.