Patient Financial Counseling

Our patients are our number one priority! We're committed to giving children back their childhood!

Job Posting Title:

Patient Financial Counseling

Location:

Frisco- Ambulatory Surgical Center

Additional Posting Details:

Monday- Friday

8:00am- 4:30pm

Job Description:

Duties/Responsibilities

• Accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include but not limited to pre-admission, admission, pre-registration and registration functions.
• Manage all incoming inquiries regarding charity care, insurance coverage benefits, billing disputes, prior authorizations, itemized statements, patient complaints, outpatient and surgical estimates, coordination of single case agreements, payment plans, and any other patient family request.
• Accurately process charity adjustments based on Crayon Care enrollment status, which includes identifying the greater discount between the Amount Generally Billed (AGB) and the charity discount.
• Provide Crayon Care applications to any patient family who is scheduled for an MRI, CT, surgery, admission, infusion, orthotics/prosthetics, Therapy Services and any other department as seen fit.
• Screens self-pay patients for Medicaid eligibility and submits Medicaid and/or CHIP referrals on behalf of the patient.
• Accurately process Crayon Care applications based on hospital charity policy.
• Send appropriate correspondence letters to patient families (approvals and denials).
• Add insurance coverage and update the billing system to reflect the insurance status of the patient.
• Serves as the Liaison between patient family and insurance verification team to ensure that prior authorizations are obtained based on insurance plan contracts and guidelines.
• Assist with insurance claim rejections/denials and remedy expediently.
• Calculate and post cash, credit, and check payments appropriately for all patients.
• Gather necessary documentation to support proper handling of inquiries and complaints.
• Assist with departmental coverage as requested.
• Engages in strong communication, acts as team player in supporting mission and vision of organization, and abides by organization core values.

Required Skills/Abilities

• High school diploma required
• Bachelor's degree preferred
• Two to five years’ experience working in hospital patient access and/or billing, physician office billing and collections, or an equivalent combination of relevant education and/or experience
• Strong analytical skills preferred
• Bilingual preferred

Working Environment

• Working conditions: Inside
• Working Position: Sitting,
• Physical Demands: Light
• Physical Requirements: Repetitive Movement
• An Individual in this position will be required to list or carry weight in this group: Up to 11-24lbs
• Sensory/Communicative activities essential to the performance of this position: Feeling, Hearing, Seeing, Speaking
• An Individual in this position will be exposed to: Inside environment