Financial Counselor Specialist Details

Financial Counselor Specialist

Fairview Health Services - Saint Paul, MN

Employment Type : Full-Time

Overview: This position will function as a team lead and provide day to day direction and oversight to the Financial Counseling Department, as well as be a resource to all staff on highly complex Financial Counseling issues and problem resolution.
This position will function as the subject matter expert for the department and will help coach and mentor less experienced staff on all aspects of the Financial Counseling Department and Revenue Cycle.
The financial counselor is responsible for working with patients who express difficulty in paying, assisting patients with the MA and public assistance application process, , and identifying patients for Fairview’s Charity Care program.
This position will coordinate efforts within the FC Department to determine and educate the patient of their financial liabilities, collect any amounts owed, and oversees the financial investigation to identify payment sources and possible alternatives.
The financial counselor works directly with medical staff, nursing, ancillary departments, insurance carriers and other external professionals to assist families in obtaining healthcare and financial services. Critical to this position is the ability to gather and record all appropriate information that lays the groundwork for the remaining or future fiscal efforts of Fairview.Responsibilities/Job Description: Will provide day to day work assignments, oversight and leadership to staff and work with the department manager to set standards, develop and execute improvement plans.
Will assist with providing hands on training to new employees and working with existing employees who require retraining or need to learn a new aspect of their job.
Provide coaching and mentoring to less experienced team members on all aspects of the revenue cycle, Medical Assistance Screening, payor issues, policy issues, or anything that impacts their role.
Will review and resolve accounts that are complex and require a higher degree of expertise and critical thinking.
Performs daily accuracy reports and quality assurance reviews of patient accounts as directed.
Coordinate efforts within the FSC to determine and educate the patient of financial liabilities and work with patients to identify possible payment alternatives.
Work with patients who express difficulty in paying and inform patients of options for financial assistance
Contact third party payor to verify insurance eligibility
Screen patients and process applications for MA and other public assistance programs as follows

• -obtain demographic and financial information
• -work with patients to ensure that public assistance applications are completed
• -ensure that the MA number is placed on the account upon approval

Ensure all patients screened are reviewed for all appropriate external assistance programs and that they are properly instructed and educated on completing the application process.
Screen and qualify patients for Charity Care using the established guidelines and ensure patients are properly instructed and educated on completing the application process.
Investigates, documents and resolves patient problems in a timely fashion . Contacts medical staff, nursing units, ancillary units and administration as needed.
Self manages daily processing workload and prioritizes patient accounts to accurately complete work in a timely, efficient manner to prevent service delays and payment issues.Qualifications:REQUIREMENTS:Education:

• Associates degree in business, healthcare or related field or commensurate experience of 3 years in addition to minimum experience requirement

Experience:

• Two or more years experience in a healthcare revenue cycle (registration, billing, etc.) setting.
• Prior experience working with county programs or charity care programs. Prior experience with registration or Patient Access functions.