Financial Counselor - EHI

Overview

Be inspired.  Be rewarded. Belong. At Emory Healthcare. 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide: 

• Comprehensive health benefits that start day 1 

• Student Loan Repayment Assistance & Reimbursement Programs 

• Family-focused benefits  

• Wellness incentives 

• Ongoing mentorship, development, and leadership programs  
• And more 

Description

RESPONSIBILITIES:

• Responsible for understanding, communicating, and administering financial policies and financial screening process to patients, patients families, and legal guardians in a hospital setting.
• Secure maximum reimbursement through up front identification and collection of patient liabilities via bedside, walk-in, phone inquiries prior to and up to the time of service.
• Review and monitor patients¿ accounts to improve revenue and timely processing of claims.
• Responsible for financially clearing patients prior to, at the time of service, or during inpatient admission by collecting payment, determining insurance eligibility, and/or evaluating for financial assistance.
• Requires knowledge of Medicare, Medicaid, and Third Party carriers, referrals and pre-certification procedures.
• Maintains a substantial knowledge base of patient financial assistance and co-pay programs available.
• Financial Counseling position must have knowledge and ability to perform aspects of Emory Healthcare processes from registration to billing.
• This position requires thorough knowledge of the patient estimate process.
• The financial counselor position interacts with patients, families, and other hospital support services to assure team efforts in the care and handling of financial arrangements, account inquiry, and account reconciliation.
• The financial counselor role requires the ability to multi-task efficiently while working in a fast paced environment with a strong attention to detail.
• Organizational and time management skills are required in order to maintain and prioritize daily work and follow-up on accounts in a timely manner.
• Completes technical and professional components of patient estimates and follows guidelines associated with the financial clearance policy.
• Reviews/monitors reports and identifies trends. Processes account adjustments as appropriate per established guidelines.
• Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by Emory Healthcare.
• Acts as a liaison between PFS and hospital operations to resolve customer/patient inquiries related to billing and patient/customer satisfaction in a timely manner.
• Completes COBRA forms and other needed documentation in a timely manner.
• Collaborates with Care Coordination, clinical staff, physician offices, and other internal/external agencies regarding patient resources and to ensure account resolution.
• Utilizes all available tools to perform benefits verification.
• Provides excellent customer service to include compassion and empathy while focusing on account resolution.
• Performs other duties as assigned.

MINIMUM QUALIFICATIONS:

• High school diploma or equivalent.
• 3 years healthcare or related job experience preferred.
• Excellent interpersonal skills with the ability to speak and write effectively at a level appropriate for the job.
• Knowledge of Medicare, Medicaid, Third Party carriers, referrals and precertification procedures required.
• The following certifications are preferred: CHAA (Certified Healthcare Access Associate) and CPAR (Certified Patient Account Representative).
• Working knowledge of medical terminology, ICD, and CPT-4 basics.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at [email protected]. Please note that one week's advance notice is preferred.