Patient Financial Services Specialist (.FTE

Location: Mason, OH

Job :1664

# of Openings:1

FTE: .8 (32 hours)

Req: 1664

The Lindner Center of Hope is a nonprofit, comprehensive mental health center and global leader offering state-of-the-science diagnosis and treatment of the most pervasive mental illnesses of our time.

• One of the first centers designed as a fully integrated system of care to address deficiencies in mental health care as identified by the Institute of Medicine.
• Innovative residential assessment, inpatient and outpatient programs in partnership with UC Health serving more than 54,660 patients from around the world.
• A leader in research and collaborations that are advancing the field and positioning Cincinnati as a national leader in mental health care.

We embrace the many talents, skills, and experiences our employees bring to Lindner Center of Hope. Everyone is encouraged to use their unique gifts to express ideas, make meaningful contributions to our programs and genuine connections with patients and family, as well as strengthen donor, referrer and community relations.

At Lindner Center of Hope, you’ll have the opportunity for a consistently rewarding career, working for an organization that shares your desire and ability to make a demonstrable difference in the lives of people living with mental illness.

The Financial Counselor serves as the primary contact for patients and families regarding financial assistance, insurance coverage, authorizations and preservice payment.

This position is responsible for conducting financial interviews with inpatients, residential patients, and any outpatients. The Financial Counselor works with health insurance providers to determine coverage and benefit levels and provides information regarding hospital payment options and financial assistance programs. Completes necessary forms in accordance with hospital policies.

• Meets with patients admitted during the business day to complete the formal admission into the EMR system by collecting and verifying patient demographic and insurance information. Will also take the patient’s picture and save the image in the EMR system to be used on the patient face sheet and wristband as dictated by department protocol.
• Obtains the appropriate signatures on consents and assignment of benefits. Scans insurance cards, picture , and other appropriate documents into the document imaging system.
• If patient presents with new insurance, assists with insurance eligibility and benefits verification electronically.
• Contacts the patient or responsible party by phone to complete pre-registration and obtain or verify all demographic and insurance information making updates or corrections in the patient account system as appropriate. Screens for medical necessity and completes the Medicare Secondary Payer Questionnaire for all Medicare patients during the pre-registration process.
• Calls applicable insurance companies to obtain facility and professional mental health, substance abuse and eating disorder benefits. Accurately documents insurance benefits and patient’s financial liability in the appropriate fields of the patient account system.
• Alerts team members to any insurance coverage issues immediately. Follows up with patient/patient representative until resolved.
• When loading benefits, performs audit of accounts to ensure all of the required demographic, insurance, financial forms, and contracts are obtained and documented in the electronic medical record.
• Communicates applicable deductible, co-pay, or coinsurance to patient during pre-registration or upon check-in.
• Collects co-pay, deductible or other out-of-pocket liability including residential self-payments. Accurately posts the payment to the patient account system and receipts the patient.
• Sets payment arrangements as appropriate. Refers the patient to the financial counselor as need arises.
• Review the process for filing insurance claims for inpatient, residential, PHP, ECT, TMS, IOP, and Outpatient as needed.
• Assess the patient’s need for financial assistance during the admission process or at a time prior to the patient’s discharge.
• Determines patient eligibility for…