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Hospital Financial Counselor

Ensemble Health Partners Albuquerque, New Mexico
financial financial insurance patients liability health observation outpatient accounts searching education payments meeting
March 10, 2024
Ensemble Health Partners
Albuquerque, New Mexico
$19.1/HOUR

We are searching for the next Financial Counselor champion. The Financial Counselor performs the task of benefit education and validation. This includes face to face review of inpatient benefits, authorization and collecting inpatient, observation, and outpatient in a bed liability throughout Ensemble Health Partners. This position handles the accurate verification and calculation of patient liabilities including previous balances, collection of patient payments, and may require nights, weekends, and holidays, as necessary. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Financial Counselor will work within the policies and processes as they are being performed across the entire organization.

  • Responsible for the assessment and collection of patient liabilities. These collections include copays, deductibles, co-insurance and balances after financial assistance. This individual is tasked with assessing patient insurance and financial information to determine liability. The Specialist in Inpatient Collections will utilize face to face communication with patients during their stay to collect the estimated patient liability.
  • Works various patient access, insurance eligibility, follow-up reports as assigned.
  • Assists facilitating daily inhouse call reviews to include all needed parties to validate that patients have a valid payor source with authorization on the account for the current stay.
  • Completion of pre-registration and registration tasks including, but not limited to, the registration of patients at the time of service, or prior to the date of service while attempting to collect the patient s financial liability.
  • Monitors missed collection opportunities for potential process improvements and follow-up. Must make at least 3 attempts each day to visit a patient's room if the patient is otherwise preoccupied in previous attempts.
  • Notes all accounts with a patient liability daily. When collection attempts are successful, the financial counselor must make a note of the collection. If the Financial Counselor is unable to collect payment, a note must be placed daily as long as the patient remains in the facility as to the reason the patient is unable to pay and including a note in the system.
  • Makes follow-up phone calls to patients that are unable to make payment while in-house. Attempts to contact the patient within 24 hours post-discharge and continue these attempts each 15 days until a collection has been made, or 2 months has elapsed.
  • Sends letters to patients' addresses post-discharge detailing an estimated liability as well as options to pay. A note must be made on the patient's account when letter is sent.
  • Works with patients to sign consent to treat, observation, Important Message from Medicare, and other registration-related forms if applicable.
  • Assists eligibility specialists in the verification of insurance information, Medicaid and charity processing, and other tasks as needed.
  • Runs a daily census to determine patients with potential eligibility. After accounts are determined, the Financial Counselor will determine benefits and liabilities for each patient.
  • Assists in the collection and organization of outpatient orders as they relate to future and current dates of service, utilizing queues built within various Revenue Cycle systems.

Job Type: Full-time

Pay: From $19.10 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Tuition reimbursement

Schedule:

  • Monday to Friday

Supplemental pay types:

  • Bonus opportunities

Work Location: In person


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