Access Financial Counselor

Why work for Nebraska Methodist Health System? At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge.

We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary

Location:

Methodist Jennie Edmundson Hospital

Address: 933

E. Pierce St.

- Council Bluffs, IA

Work Schedule:

Mon - Fri, 8:00am to 4:30pm

The Access Financial Counselor is responsible for providing patients with our financial options, collecting payments and acting as a liaison between the hospital and the patient.

Essential Job Functions

• Contacts patient with Experian estimate and collects payments upfront.
• PFC will work alpha split in Experian to pull estimates over $100.00 on scheduled procedures. PFC will contact patient to review estimate and attempt to collect out of pocket amount listed on estimate.
• PFC will document account, in detail, the result of the call. If the patient makes a payment, the PFC will update the Estimated Patient Responsibility field. PFC will send all prompt pay discounts to the Lead Access Financial Trainer.
• Will meet monthly/yearly department POS Collection Goal.

Provides financial options and collects money from patients both in person and over the phone.

• Collects payments and assists patients with financial options including the financial assistance and bank loan programs.
• Assists patients with applying for COBRA and completes necessary paperwork.
• Provides estimates on upcoming scheduled services. Explains financial requirements to the patient and collects deductibles, copays and coinsurance, as required.
• Is able to review EOBs and audit an account in order to explain to the patient why there is a balance on their account.

Documents in billing systems any action taken in handling accounts.

• Documentation needs to be completed immediately following action taken on accounts.
• Documentation needs to be detailed and precise so that it is understandable to anyone that reads it.

Uses appropriate action codes and documents daily productivity.

• Reviewed weekly by the lead.
• Achieves department standards of 90% accuracy on productivity.

Reviews accounts referred by supervisor, Patient Matters and system reports to determine appropriate action, which includes contacting patients, insurance companies, attorneys, and other providers, or other hospital staff or departments as indicated.

• Referrals received from business office staff are handled within one week.
• Referrals received from management are handled within 24 hours.
• Referrals received from Social Workers are handled within 24 hours.
• Patient Matters room visits are done the same day and all financial options are discussed and noted.
• PFC should use Revenue Cycle or App Xtender to pull Explanation of Benefits.

Knowledgeable on MHS Elective Procedures.

• Understands the contracts for Bariatric, Cosmetic and Pre Paid OB procedures.
• Explains clearly the guidelines and expectations to patients prior to any elective procedure.
• Collects any out of pocket and has contracts and waivers signed prior to service.
• Provides necessary documentation to doctors office, business office and any outside vendors.

Mon - Fri, 8:00am to 4:30pm

• High School Diploma or General Educational Development (G.E.D) required

• Minimum of 1 year of previous customer service experience in a business office setting; preferably in the healthcare field.
• Requires the ability to understand basic accounting and business principals to enable accurate auditing of patient accounts and reading explanation of benefits.
• Prefers experience in collection processes and procedures.
• Requires basic…