Navigant unites the strengths of four category-leading companies to address the complexities of today's healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.
The Financial Counselor is responsible for program eligibility and POS payments for patients receiving or who have received services at the facility. This position estimates patient liability for services rendered and communicates with patients regarding financial responsibility. Patient portions due, are to be collected before patient discharge. The Financial Counselor is also responsible for screening patients for program eligibility and communicating with Navigant Cymetrix such findings. The Financial Counselor is also responsible for assisting patients with the completion of applications. This position will also assist in coordinating efforts between the patients, hospital, doctors and third party agencies to obtain info needed eligibility process. Must accurately collect and input patient eligibility and status information into the system. Financial Counselor is responsible for multitasking to ensure the processes and follow through with the patient and other involved parties are completed daily or weekly.
Effective verbal / written communication skills.
Proficient, Strong Organizational Skills.
Customer Service/Public and Patient Relations.
Data Input and Account Accuracy.
Knowledge Government programs.
Patient eligibility screening.
Report Development and Maintenance.
High level of productivity.
Ability to work independently.
Determines patient responsibility and eligibility through Insurance, Federal, State, and/or County government benefits.
Reviews accounts for proper plan codes, financial class, and patient type.
Contacts appropriate agencies to verify assumptions of liability.
Investigates alternate payment sources for self-pay patients. Negotiates flat rates on accounts where the patient has no linkage to government programs.
Does bedside with patients and informs them of financial responsibility prior to discharge.
Sets up payment plans with patients prior to discharge and documents payment arrangements in patient accounting systems. Provides patient with mailing envelops and payment dates before discharge.
Collects monies from patients when there is an estimated patient liability due on the account.
Monitors Medicare days and co-insurance days on in-house patients. Reviews all in-house Medicare accounts on the 1st and 15th of each month. Updates account with Eligibility info in detail.
Represents the patient(s) at Medicaid or SSI fair hearings/appeals.
Interviews uninsured patients for eligibility in Federal, State and County assistance programs prior to discharge.
Completes Financial Assistance Applications or Charity Applications with uninsured and/or underinsured patients prior to discharge. Completes application and attests to the accuracy of the information by signing the application.
Interfaces with facility Social Services and Case Management Departments regarding inpatient admissions and discharges.
Documents all payer and patient financial information in the hospital computer system.
Responsible for the retrieval of Inpatient Census patient information within the facility to follow up on In House patients no insured or under insured.
Obtains complete and accurate patient information including possible insurance(s), and financial information by communicating with patients, family members, and physicians regarding their stay.
Follow up with patients and agencies to ensure eligibility for date(s) of service.
Educates patients on eligibility status and needs to obtain eligibility.
Manages a group of accounts daily in accordance with hospital standards. Ensuring accounts that have had a financial application have been approved or denied or accounts pending eligibility have been approved or denied.
Communicates daily with co-workers, hospital and management in regards to account progress and/or other issues.
Utilizes organization and prioritization skills in their daily tasks. Utilizes time management skills to ensure completion of daily processes.
Must maintain open and positive professional communication orally and written at all times.
Should not at any time indicate or suggest to the patient that they will be relieved of the debt by the way of a write-off to charity care until the determination has been made.
Assist all walk-in patients with liquidation options on accounts.
Demonstrates the ability to secure patient cooperation and participation in the eligibility process and acting as their authorized representative assists in completing and submitting required documentation to Medicaid eligibility department.
Conducts home visits as needed or required.
Performs all related job duties as assigned.
High School Diploma, GED or equivalent work experience required.
PC skills in a Windows environment are required. Knowledge of Word and Excel are helpful.
Ability to initiate and follow through on projects and work independently
Excellent written and verbal communication skills.
Experience: Medical terminology, data entry, prior admitting, entitlement, business office or physician office experience preferred.
Bilingual (English/Spanish) preferred
Healthcare background preferred
Knowledge of MS4 helpful.
Working knowledge/experience of Federal, State and County eligibility programs.
Excellent interpersonal skills.
Must be able to type 35-45 words per minute.
Computer, fax, telephone etiquette a must.
Personal responsibility, respect for self and others.
Innovates through teamwork, dedication to caring and excellence in customer service.
Communicate frequently with co-workers as well as with managers to discern their needs, and be able to express themselves
Work as a member of a team as well as be a self-motivator with ability to work independently
Constantly operates a computer and other office equipment to coordinate work
Usually remains stationary for the majority of the day
Frequently communicates with clients and coworkers and must be able to share information effectively
Generally works in an office environment
Navigant Cymetrix is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information or any other basis protected by law, ordinance, or regulation.
Navigant will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant's professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant's practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.