Campus Pride Jobs

PURPOSE OF THIS POSITION The PFS Financial Counselor is responsible for resolving self-pay accounts at Blanchard Valley Health System while maintaining strong relations with patients, guarantors, and revenue cycle departments. Under the direct supervision of the Patient Financial Services Department, this individual utilizes medical billing knowledge, financial assistance knowledge, and excellent customer service skills to effectively collect from and provide financial resources to patients, thereby promoting patient satisfaction and Blanchard Valley Health System's financial solvency. This individual will provide financial counseling for the patients, including but not limited to-verifying insurance eligibility and benefits, pre-screening and enrolling self-pay (uninsured and underinsured) patients for external and internal assistance programs, including Medicaid, assisting patients in the process of completing financial assistance applications, educating them about their financial responsibilities, and helping them identify a path toward resolving their balances. JOB DUTIES/RESPONSIBILITIES * Duty 1. Handles communication (telephone, email, interpersonal) with patients and other departments within the business office. Returns communication in a prompt and courteous manner when necessary. * Duty 2. Follows scripts as provided by the Patient Financial Services/Revenue Cycle Leadership to facilitate consistent and expedient account resolution. * Duty 3. Clearly explains service charges to customers, understands different payer regulations and can communicate effectively with patients regarding their Explanation of Benefits (EOB) * Duty 4. Maintains all self-pay accounts; updates patient demographics when necessary; negotiates full payment from patients and helps them set up an agreeable payment plan and/or external payment program. Screens for financial assistance programs and directs patient to the correct resources should they be eligible. * Duty 5. Collects patient payments made over the counter, over the phone, and by mail daily; properly records all payment types (e.g., cash, check, debit, credit) and transactions into the computer system. * Duty 6. Daily generation of self-pay statement approval and validation of accuracy. * Duty 7. Monitors, completes, and maintains appropriate productivity levels of assigned tasks in accordance with team standards. * Duty 8. Prescreens uninsured and underinsured patients to identify potential financial assistance, government programs, or marketplace insurance program qualifications. If patient potentially qualifies, assists in the enrollment of these programs. Follows up with all self-pay patients admitted as inpatient or observation who have not been financially cleared. * Duty 9. Responsible for having knowledge of all Business office functions including, but not limited to estates, bankruptcy, adjustments, cash posting, credit balances, and transmitting of bad debt. * Duty 10. The above duties reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position. * Duty 11. Maintains a thorough understanding and education of federal and state regulations and payer specific policies and requirements to promote compliant credit and collection practices. Adheres to HIPAA related privacy, security and transaction & code set regulations in compliance with the federal guidelines. Accurately documents all account activity. Regularly attends and actively participates in staff meetings, in-service, and continuinApply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjUxODUyLjEwNTA4QGJsYW5jaGFyZHZhbGxleWNvbXAuYXBsaXRyYWsuY29t