Sr Financial Counselor- Ob/Gyn Specialist - full time

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Education

Required

• High School diploma or equivalent

  Preferred

• Bachelors' degree

  Work Experience

  Required

• 2 years of customer service, healthcare, or office experience

• Preferred

• 1 year in a healthcare business office
• Collections/Customer Service Experience
• Proficient in Word, Excel and Power point
• Bilingual

  Knowledge Skills and Abilities (KSAs)

• Must have computer skills and dexterity required for data entry and retrieval of patient information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
• Strong interpersonal skills.
• Ability to multi-task.
• Ability to perform effectively in a fast paced ever changing environment.
• Ability to remain calm and professional in high pressure/stressful situations regarding patient financial and medical conversations.
• Ability to organize and prioritize to ensure deadlines are met.
• Ability to work with minimal supervision and makes independent decisions.
• Ability to provide coaching and constructive feedback.
• Demonstrated problem solving skills, attention to detail and robust follow up.
• Ability to work independently and as part of a team.
• Other related duties as required.
• Reliable transportation as may be required to travel to other facilities to fill in as needed.

Job Duties

• Promptly and courteously assists and provides accurate information to patients regarding their accounts or services face to face, e-mail, fax, regular mail correspondence, phone call.
• Serves as a liaison between the patient, providers, external departments or other responsible person(s) to ensure that charges are applied appropriately, transactions are recorded and appropriately maintained, and account balances and discrepancies are resolved within the prescribed period.
• Plans, organizes, and prioritizes work to discuss with patients the importance of their financial responsibility. Educates the patients on various available assistance options, as well as explain the financial impact of various alternatives.
• Ensures appropriate authorizations are obtained timely and accurate estimates for upcoming procedures are provided.
• Provides Best in Class service to every patient inquiry received to ensure and maintain high levels of patient satisfaction. Represent the organization by providing appropriate/applicable levels of competency and professionalism to ensure all patient issues are resolve timely, accurately and efficiently.
• Works with clinical staff in relation to patient's benefits, pricing structure, authorizations, denial review, appeals on denials, and submission of physician adjustment requests.
• Assists supervisors with escalated patient inquiries and daily operations of the department.
• Provides routine support with new hire and on-going staff training/coaching.
• Completes more complex research of a patient's account before submitting/processing adjustments requested.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

The employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Normal routine involves no exposure to blood, body fluid or tissue, but exposure or potential for exposure may occur.

The incumbent works with patients who have known or suspected communicable diseases and may enter isolation rooms. The incumbent has an occupational risk for exposure to all communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

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Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Maryland, Minnesota, New York, Washington, and Washington D.C.

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