What are the responsibilities and job description for the Financial Counselor Sun - Thurs 9 am - 5:30 pm (4665) position at REGIONAL ONE HEALTH?
JOB SUMMARY
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Assesses patient or responsible party's financial ability to pay for services and arranges methods of payment. Assists in identifying sources of payment and refers patient to internal or external agencies for special needs. Provides continuity from in-house/outpatient encounters to post-care to ensure that the financial requirements are carried out. |
Key Job Responsibilities
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Essential Function |
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Reviews registration/admission/census data to verify and document all demographic, insurance, and financial information. Coordinates with Admission Staff, Insurance Account Representatives, Utilization Review/Managed Care Coordinators, Physician’s Offices, and Billing as required.
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Interviews patients/guarantor prior during pre-admit, admission or discharge process to secure information required to discuss, evaluate and assess financial status as ability to pay for services in accordance with established policies and procedures.
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Determines payment sources or agency eligibility for appropriate referrals. Refers patients potentially eligible for third party payment through TennCare/Medicaid, Medicare, Crime Victims, Vocational Rehabilitation, etc., and carries out application/notification to appropriate entities, referring patients to other counseling sources as needed by maintaining a working knowledge of grants, funds, and other resources available for qualified accounts. |
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Identifies admissions that qualify for charity.
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Consistently takes part in the discharge planning process. Contacts patients/guarantors as indicated according to internal policies. |
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Essential Function |
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Answers account inquiries and communicates effectively to provide information/assistance and resolve problems. Confers and works collaboratively with patient/family/hospital staff in a customer responsive and courteous manner, in compliance with iRESPECT standards and promoting patient/customer satisfaction. |
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Prepares and maintains files and required records, reports for administrative and compliance purposes. |
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Maintains confidentiality of patient, department and hospital information. Adheres to established department and organizational policies in processing and releasing patient information (i.e. HIPAA, Confidentiality and Compliance Policies). |
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Completes required continuous training and education, including department specific requirements. Responds to problems/opportunities to improve work environment and participates in unit based performance improvement activities. |
Physical Demands
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A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. |
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Physical Demand |
N/A |
Rarely |
Occasionally |
Frequently |
Constantly |
Weight |
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Standing |
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X |
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Walking |
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X |
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Sitting |
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X |
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Lifting |
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X |
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Carrying |
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X |
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Pushing |
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X |
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Pulling |
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X |
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Climbing |
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X |
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Balancing |
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X |
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Stooping |
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X |
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Kneeling |
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X |
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Crouching |
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X |
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Crawling |
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X |
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Reaching |
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X |
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Handling |
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X |
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Grasping |
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X |
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Feeling |
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X |
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Talking |
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X |
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Hearing |
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X |
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Repetitive Motions |
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X |
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Eye/Hand/Foot Coordination |
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X |
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Education |
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Education Level |
Education Details |
Required/ Preferred |
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High School Diploma |
Or equivalent education/experience in social sciences, insurance, or related |
Required |
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Work Experience
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Experience |
Experience Details |
Required/ Preferred |
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Minimum 2 years experience |
Patient accounting, medical office, business or related experience preferably in insurance |
Required |
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