Patient Financial Counselor Job at Pioneers Memorial Healthcare District
- Identifies patients who may need financial counseling based on their inability to pay and properly classifies them. Interviews patients and families who may need financial assessment to evaluate eligibility for financial aid programs, charity, and etc.
- Works with patients in obtaining financial agreements with patients based on Patient Accounting Department Policy and Procedure: Patient Accounting Policy.
- Refers patients and families to the Medi-Cal workers for assessment and possible application.
Maintains liaison with community agencies and personnel who are referral resources for patient financial assistance including but not limited to the Victim’s of Violent Crime Program.
- Responsible for the initial billing of all private pay patients.
- Assists in the follow-up with patients, guarantors, and outsource companies to obtain payment and resolution of account balances. Understands the collection laws as they apply to account resolution. Understands collection laws as they apply to the collection of patient liability. Assists in identifying and/or validating accounts to be referred to outside collection agencies after performing the established collection effort.
- Keeps accurate records on all patients, under scope of responsibility, which includes keeping accurate information on account activity; provides appropriate file documentation as needed to maintain accurate records on patients’ account financial status.
- Demonstrates a thorough knowledge and understanding of billing and follow-up policies and procedures in performing job duties and instructing patients and hospital personnel. Routinely uses Patient Accounting Policy and Procedure Manual and other reference materials as necessary to ensure the proper course of action in insurance follow-up and collection.
- Provides quality control feedback as it relates to the quality, accuracy, and timeliness of other departments as it’s related to the collection process.
- Responsible for reporting the status of all accounts under scope of responsibility. This includes the timely response to all requests and inquiries by the Department Coordinators or Manager.
- Utilizes the HIS Affinity System to its full capacity. Continues to grow in the user of the computer system as its capabilities expand.
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