Overview
At Houston Methodist the Financial Counselor position is responsible for screening patients for financial assistance programs to reduce bad debt and improve the likelihood of securing the payment for services rendered. This position assists in notifying patients of their financial responsibility helping them understand their payment options and collecting payments. Other duties include performing complex financial counseling functions (e.g. extended payment arrangements discounts single case agreements case rates etc.).
Houston Methodist Standard
PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental Scope of Service and Provision of Care plans as applicable for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS
- Provide personalized care and service by consistently demonstrating our I CARE values :
INTEGRITY : We are honest and ethical in all we say and do.
COMPASSION : We embrace the whole person including emotional ethical physical and spiritual needs.ACCOUNTABILITY : We hold ourselves accountable for all our actions.RESPECT : We treat every individual as a person of worth dignity and value.EXCELLENCE : We strive to be the best at what we do and a model for others to emulate.Practices the Caring and Serving ModelDelivers personalized service using HM Service StandardsProvides for exceptional patient / customer experiences by following our Standards of Practice of always using Positive Language (AIDET Managing Up Key Words)Intentionally collaborates with other healthcare professionals involved in patients / customers or employees experiential journeys to ensure strong communication ease of access to information and a seamless experienceInvolves patients (customers) in shift / handoff reports by enabling their participation in their plan of care as applicable to the given jobActively supports the organizations vision fulfills the mission and abides by the I CARE valuesResponsibilities
PEOPLE ESSENTIAL FUNCTIONS
Promotes a positive work environment and contributes to a dynamic team focused work unit that actively helps one another to achieve optimal departmental and organizational results.Supports team members with questions regarding eligibility / benefit information for patients receiving services. Seeks management assistance appropriately.Demonstrates a high degree of professionalism and effectively engages with a diverse customer base including patients / visitors physician office staff and representatives from internal departments and external organizations. Gives appropriate status updates.SERVICE ESSENTIAL FUNCTIONS
Contacts and educates patients on matters related to insurance benefits and payment options or collects past balances including bad debt. Answers any questions posed by the patient related to a billing or financial concern.Counsels patients regarding potential financial assistance eligibility and the process for application. Collects financial information from patient and other sources (e.g. financial profile from electronic database).Contributes to patient employee and physician satisfaction as well as effective revenue cycle process.QUALITY / SAFETY ESSENTIAL FUNCTIONS
Reviews the completed application for accuracy making the initial determination for approval and alerting the department manager of potential concerns.Enters and updates patient data into the electronic medical record with a high level of thoroughness accuracy and timeliness. Completes assigned work queues.FINANCE ESSENTIAL FUNCTIONS
Reviews in-house self-pay patients and assures they receive financial counseling as applicable. Collaborates with applicable vendor to identify all sources of potential payment to secure funds for hospital (e.g. COBRA workers compensation etc.). Provides financial updates on a regular basis which can include updating reporting and / or participating in regular meetings with case management and finance for in-house patients to ensure timely discharge planning and financial clearance.Completes financial assistance calculation worksheets and submits for appropriate level of approval.Collects patient payments and performs other complex financial counseling functions (e.g. extended payment arrangements discounts single case agreements case rates etc.) by following department procedures to ensure all collection activities are accurately followed. May perform cashier functions.Fulfills monthly goals for cash collection.Organizes time effectively minimizing incidental overtime and sets priorities. Utilizes time between heavy workloads efficiently and helps other team members.GROWTH / INNOVATION ESSENTIAL FUNCTIONS
Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development.Generates and communicates new ideas and suggestions that will improve finance quality or service.This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business / job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
Qualifications
EDUCATION
High School diploma or equivalent education (examples include : GED verification of homeschool equivalency partial or full completion of post-secondary education etc.)WORK EXPERIENCE
Three years of experience in financial counseling patient accounting or patient access in a healthcare setting preferably in a hospitalExperience mentoring or leading team members preferredLicense / Certification
LICENSES AND CERTIFICATIONS - REQUIRED
N / AKSA / Supplemental Data
KNOWLEDGE SKILLS AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job determined through on-going skills competency assessments and performance evaluationsSufficient proficiency in speaking reading and writing the English language necessary to perform the essential functions of this job especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate with patients physicians family members and co-workers in a manner consistent with a customer service focus and application of positive language principlesDemonstrates sound judgment and executes above average patient access functional skillsExhibits strong interpersonal teamwork and leadership skills with all levels of the healthcare team and assures delivery of excellent customer service to all patients visitors physicians and co-workersAbility to analyze and solve problemsWell-developed organizational skills with ability to multi-task and utilize time efficientlyAbility to adapt to changes in the work environment and modify approaches or methods to best fit the patients situationKnowledge of payer requirements authorizations and insurance terminologyProficient understanding of medical terminology and diagnosis / procedural codesAbility to remain calm in stressful situations with patience and understandingExcellent customer service and professional communication skillsProficient computer skills and ability to learn and navigate multiple software programs and payer websitesAbility to handle detail work accurately and rapidlyWorking knowledge of CPT ICD-9 and / or ICD-10 preferredSUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
Uniform YesScrubs NoBusiness professional YesOther (department approved) YesON-CALL
Note that employees may be required to be on-call during emergencies (ie. DIsaster Severe Weather Events etc) regardless of selection below.On CallNoTRAVEL
Travel specifications may vary by departmentMay require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area NoCompany Profile
Houston Methodist The Woodlands opened in 2017 as the eighth hospital in the Houston Methodist system. This 187-bed 470000-square-foot full-service acute care hospital offers many of the same services as our flagship hospital in the Texas Medical Center. Also on the $380 million hospital campus located at the intersection of I-45 and TX 242 is a medical office building which opened in 2016. Medical Office Building 1 includes a breast care center cancer center & infusion center orthopedics & sports medicine rehabilitation services wellness services and an outpatient laboratory in addition to multi-specialty physician practices. A second medical office building and 785-car parking garage opened in 2018.
Key Skills
Abinitio,Administration And Accounting,Android,Bid Management,Inventory Management,Embedded C
Employment Type : Full-Time
Experience : years
Vacancy : 1