Financial Counselor II (Wilson County Hospital)

Vanderbilt University Medical Center

Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization : Business Office

Job Summary : Ensure all claims have been reviewed for proper documentation and signatures. To review insurance information is correct and O / P insurance is verified for accuracy. To request payment for deductibles / co-pays for all O / P's and review for any areas of incompleteness.

Key Responsibilities :

• Pull daily census, whether inpatient or outpatient
• Verifying insurance benefits verification and documenting on the account
• Utilize online tools and payer websites for pricing and contracts
• Verifying that all pre-certifications have been done with the insurance
• Work directly with case management
• Review benefits and payment / deductible / copay with the patient
• Offer charity application as needed
• Collect money and / or secure payment via phone or in person
• Set up payment plans and provide receipt
• Obtain patient signatures on forms for Medicare : IMMs and MOONs and scan into electronic record
• Resolve billing issues for online inquiries, walk ins, and call in patients
• Escalate settlement offer, complaints, and unresolvable issues to leadership

Technical Capabilities :

Core Accountabilities :

Core Capabilities :

Position Qualifications :

Responsibilities :

Certifications :

Work Experience : Relevant Work Experience

Experience Level : 1 year

Education : High School Diploma or GED

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE / Vets / Disabled.