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Financial Counselor Lead (FT) - WPH Registration 2nd Shift - req7321

 

Financial Counselor Lead (FT) - WPH Registration 2nd Shift - req7321 - Winnie Palmer Hospital

Orlando Health is one of Floridas most comprehensive private, not-for-profit healthcare systems providing access to nearly two million Central Florida residents and has provided care for more than 4,600 international visitors annually. Our physician practices, diagnostic centers, hospitals and advanced medical treatments and procedures, along with our highly qualified team of medical specialists, have distinguished Orlando Health as a healthcare leader. We are one of Central Floridas largest employers with more than 15,000 employees and nearly 3,000 affiliated physicians supporting our philosophy of providing a continuum of care that revolves around patients needs. As a leading healthcare resource, providing world-class medical care as well as training our future healthcare providers, Orlando Health will continue to foster growth and development throughout the region for generations to come. We are looking for talented individuals to be part of our team.

Position Summary
The Financial Counselor Lead is a key position on the team which assists patients and their families with a host of services to ensure that the process of collection payments is fully explained and is as comfortable as possible.

Essential Functions

  • Understands the importance Orlando Health places on providing exemplary customer service and performs job functions in a manner that helps meet the department customer service goals.
  • Demonstrates a positive and professional approach and communicates effectively with customers and team members at all times.
  • Identifies customer service issues and resolves or initiates necessary follow-up. Implements service recovery efforts as appropriate.
  • Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information
  • Explains necessary forms and obtains signatures from patient/guarantor.
  • Contacts appropriate payers, verifying benefits and obtaining necessary authorizations.
  • Utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
  • Explains insurance benefits and collects co-pays, deductibles and self-pay portions due.
  • Collects for related professional care as appropriate.
  • Collects outstanding balances due from previous accounts or establishes payment arrangements for these balances as appropriate.
  • Provide complete resolution to patients billing issues and questions.
  • Contacts Primary Care or Admitting Physician to obtain authorizations, diagnosis, and procedure detail as necessary.
  • Documents authorization and benefit information in registration system.
  • Assembles patient record and obtains copies of relevant documents including insurance cards, photo identification cards and any advance directives.
  • Demonstrates a thorough knowledge of third party reimbursement requirements and regulations.
  • Exhibits thorough knowledge in the use of all registration and scheduling systems, electronic verification tools and Web based resources.
  • Follows Patient Financial Services self-pay policies including completion of Guarantor Financial Statement Application, explanation of payment options and collections of monies due.
  • Screens patient/guarantor for federal, state, county or other assistance programs and completes necessary forms and applications per facility guidelines.
  • Follows Patient Financial Services policies related to cash handling.
  • Performs departmental cashiering functions and process point of service transactions.
  • Performs advanced department cashiering functions.
  • Collects and inventories patient valuables following policy guidelines.
  • Maintains thorough understanding of the medical necessity screening process and appropriate systems.
  • Maintains a thorough knowledge of ICD-10 and CPT codes.
  • Performs appropriate pre-registration functions including calling physician offices, insurance payers and the patient/guarantor, as necessary.
  • Cross-trained with appropriate knowledge and skills necessary to staff all areas of Patient Access at any facility, including but not limited to Front Desk, Admitting Office, Cashier, Insurance Verification, Floor Representatives, Pre-Registration, Scheduling and Emergency Department Business Office.
  • Acts as a resource for training of new team members. \Serves as a resource during the implementation of new process improvements.
  • Performs the duties of a system super user.
  • When performing scheduling functions provide patients with thorough and accurate procedure information.
  • When performing scheduling functions maintains open communication with physicians and their offices, patients, all ancillary and surgical areas to include scheduling, rescheduling and cancellations of single/multiple tests and procedures.
  • Acts as liaison between Nursing, Ancillary, Scheduling, Case Management, Social Workers, Managed Care Companies, Physicians, Administration and Patient Accounting.
  • Maintains departmental logs for statistical reporting.
  • Exhibits thorough knowledge in the use of the telephone system, scanners, printers, copy machine, fax machine, and paging system.
  • Consistently meets Quality Assurance standards set by Patient Access and the department.
  • Meets departmental goals regarding collections, productivity and customer service.
  • Maintains flexibility in work schedule availability that allows department to change/modify work schedule to meet departmental needs.
  • Meets federal, state and hospital requirements related to compliance issues.
  • Attends and participates in department staff meetings and attends other meetings as assigned.
  • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
  • Maintains compliance with all Orlando Health policies and procedures.

QUALIFICATIONS:

Experience

  • Two (2) years experience in a financial, business office, or customer service environment required. Proficient in Windows environment. One (1) year PC/Windows experience.
  • Previous Patient Financial Services (PFS) experience required.

Education/Training

  • High School or equivalent.
  • Must complete Corporate and Patient Financial Services annual educational requirements.


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