Under general supervision, communicates via phone or face to face with guarantors and patients to make payment arrangements on account balances. Prepares Financial Assistance applications for account write offs. Follows up on unpaid accounts in accordance with collection procedures. Performs various automated business office functions. Ensures all actions of the Financial Counselor responsibilities are performed accurately and efficiently to support patient centered care organization.
Unit Specific Position Responsibilities
Reviews patient demographic information of accounts to ensure correct billing.
Interviews patients to secure payments on accounts, to determine if a patient may qualify for financial assistance, or other programs.
Assist patients with payment arrangement, qualifications of financial assistance and answer all billing questions.
Answers incoming patient phone calls and assists patient with any information requested.
Maintain workqueues to ensure accounts are being worked effectively and efficiently.
Reports any observed or suspected deviation from medical center policies or from Medicare, Medicaid or other insurance regulations immediately to the department Director or the medical centers Chief Compliance Officer.
Recommends accounts that need third party intervention. Assists in the evaluation of collection agency effectiveness.
Meets with patients in clinical areas when appropriate.
Perform other assigned duties.
Assists in establishing and maintaining policies and procedures for billing and collection activities. Recommends programs and policies that will ensure appropriate, prompt, and fair billing and collection of accounts receivable.
Complies with all collection regulatory requirements.
Answers phones and provides necessary information and assistance.
Attends workshops, seminars and meetings as needed.
Qualifications, Knowledge & Experience
Required Qualifications (Including any licensure, certification, education):
High school graduate or equivalent
Two years of higher education or two years of progressively responsible work experience in a medical office, collection, or insurance company setting.
Equivalent combination of education and experience that would demonstrate the capability to perform the duties of the position.
Become a certified application counselor (CAC) through the Marketplace within 6 months of hire, if not already obtained.
Complete the Medicaid presumptive eligibility training, within 6 months of hire, if not already obtained.
College graduate with degree in business management, or other related field.
Knowledge of the UB04 and CMS 1500 billing forms.
Knowledge of the Federal and State regulatory requirements for billing accounts receivable.
Considerable knowledge of credit and collection procedures and methodology.
Considerable knowledge of Iowa Code pertaining to bill collection and the Federal Fair Debt collection Act.
Required Knowledge, Skills & Experience:
Internet usage skill
Knowledge of Microsoft related programs such as word, excel and outlook
Excellent customer service skills
Analyze and interpret information to make decisions within scope of job functions with minimal supervision.
Preferred Knowledge, Skills & Experience:
Technical certification through AAHAM.
80 hour Full Time