Inpatient Financial Counseling Specialist - Springfield Regional Medical Center

Thank you for considering a career at Mercy Health!

Scheduled Weekly Hours :

40

Work Shift :

Days (United States of America)

Job Description

Performs liability collection activities across Mercy Health.

The Specialist in Financial Counseling performs the task of collecting inpatient, observation, and outpatient in a bed liabilities throughout Mercy Health. This position is responsible for the accurate calculation of patient liabilities including previous balances, and the collection of patient payments, and may require nights, weekends, and holidays as necessary. They are responsible for performing these functions while meeting the mission and goals of Mercy Health ministry and all regulatory compliance requirements. The Specialist in Financial Counseling will work within the policies and processes as they are being performed across the entire organization.

• Financial Counseling staff are responsible for the assessment and collection of patient liabilities. These collections include copays, deductibles, co-insurance and balances after financial assistance. This individual is tasked with assessing patient insurance and financial information to determine liability. The Specialist in Inpatient Collections will utilize face to face communication with patients during their stay to collect the estimated patient liability.
• Financial Counseling Specialists are responsible for working various patient access, insurance eligibility, follow-up reports as assigned.
• Financial counseling staff are responsible for pre-registration and registration tasks including, but not limited to, the registration of patients at the time of service, or prior to the date of service while attempting to collect the patients financial liability.
• The financial counselor will monitor missed collection opportunities for potential process improvements and follow-up. Financial Counseling staff must make at least 3 attempts each day to visit a patient's room if the patient is otherwise preoccupied in previous attempts.
• The financial counselor will note all accounts with a patient liability on a daily basis. When collection attempts are successful, the financial counselor must make a note of the collection. If the Financial Counselor is unable to collect payment, a note must be placed daily as long as the patient remains in the facility as to the reason the patient is unable to pay and including a note in the system.
• The Financial Counselor will make follow-up phone calls to patients that are unable to make payment while in-house. The Financial Counselor must attempt to contact the patient within 24 hours post-discharge, and continue these attempts each 15 days until a collection has been made, or 2 months has elapsed.
• The Financial Counselor will send letters to patients' addresses post-discharge detailing an estimated liability as well as options to pay. A note must be made on the patient's account when letter is sent.
• The financial counselor will work with patients to sign consent to treat, observation, Important Message from Medicare, and other registration-related forms.
• The financial counselor will assist eligibility specialists in the verification of insurance information, Medicaid and charity processing, and other tasks as needed.
• The Financial Counselor will run a daily census to determine patients with potential eligibility. After accounts are determined, the Financial Counselor will determine benefits and liabilities for each patient.
• The financial counselor will assist in the collection and organization of outpatient orders as they relate to future and current dates of service, utilizing queues built within various Revenue Cycle systems.
• All other duties as assigned.

Education : Specialist / Major : Business or Healthcare Admin

Licensure : Certified Healthcare Access Associate (CHAA) and or Certified Revenue Cycle Representative (CRCR).

Minimum Years and Type of Experience : 1-2 years experience preferred

Other Knowledge, Skills and Abilities Required : Understanding of Revenue Cycle including admission, billing, payments and denials. Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification. Knowledge of Health Insurance requirements. Knowledge of medical terminology or CPT or procedure codes.

Other Knowledge, Skills and Abilities Preferred : Patient Access experience with managed care / insurance.

Mercy Health is an equal opportunity employer.

As a Mercy Health associate, you're part of a Misson that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

Benefits may vary based on the market and employment status.

Department :

SS Revenue Cycle - Legacy MH Acute

It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com.