Sr Financial Counselor - Patient Financial Services - Jefferson Hwy.

Ochsner Health System New Orleans , LA 70130

Posted 3 weeks ago

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

This job is responsible for assisting patients for all billing inquiries across the Ochsner Health System in a face to face arena. Responsibilities include, but are not limited to, reviewing all aspects of the patients bill, collection of liability for upcoming procedure(s), collecting residual and past due balances, reviewing alternate options for benefit coverage for both medical and pharmaceutical services, secure authorizations, setting up fee arrangements, and backfilling for coverage at other locations. Additionally, this job is responsible for handling more complicated, in-depth, and escalated inquiries/issues, providing estimates for services, coordinating special projects, processing adjustments, correcting payments posted, is expected to be the expert for departmental processes and procedures, and providing coaching/training to staff. This job ensures the best patient experience is received through timely and accurate assistance.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at Ochsner's discretion.

Education

Required

  • High School diploma or equivalent

Preferred

  • Bachelors' degree

Work Experience

Required

  • 2 years of customer service, healthcare, or office experience

  • Preferred

  • 1 year in a healthcare business office

  • Collections/Customer Service Experience

  • Proficient in Word, Excel and Power point

  • Bilingual

Knowledge Skills and Abilities (KSAs)

  • Must have computer skills and dexterity required for data entry and retrieval of patient information.

  • Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.

  • Must be proficient with Windows-style applications, various software packages specific to role and keyboard.

  • Strong interpersonal skills.

  • Ability to multi-task.

  • Ability to perform effectively in a fast paced ever changing environment.

  • Ability to remain calm and professional in high pressure/stressful situations regarding patient financial and medical conversations.

  • Ability to organize and prioritize to ensure deadlines are met.

  • Ability to work with minimal supervision and makes independent decisions.

  • Ability to provide coaching and constructive feedback.

  • Demonstrated problem solving skills, attention to detail and robust follow up.

  • Ability to work independently and as part of a team.

  • Other related duties as required.

  • Reliable transportation as may be required to travel to other facilities to fill in as needed.

Job Duties

  • Promptly and courteously assists and provides accurate information to patients regarding their accounts or services face to face, e-mail, fax, regular mail correspondence, phone call.

  • Serves as a liaison between the patient, providers, external departments or other responsible person(s) to ensure that charges are applied appropriately, transactions are recorded and appropriately maintained and account balances and discrepancies are resolved within the prescribed period.

  • Plans, organizes, and prioritizes work to discuss with patients the importance of their financial responsibility. Educates the patients on various available assistance options, as well as explain the financial impact of various alternatives.

  • Ensures appropriate authorizations are obtained timely and accurate estimates for upcoming procedures are provided.

  • Provides Best in Class service to every patient inquiry received to ensure and maintain high levels of patient satisfaction. Represent the organization by providing appropriate/applicable levels of competency and professionalism to ensure all patient issues are resolve timely, accurately and efficiently.

  • Works with clinical staff in relation to patient's benefits, pricing structure, authorizations, denial review, appeals on denials, and submission of physician adjustment requests.

  • Assists supervisors with escalated patient inquiries and daily operations of the department.

  • Provides routine support with new hire and on-going staff training/coaching.

  • Completes more complex research of a patient's account before submitting/processing adjustments requested.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

Complies with the Ochsner Health System Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

Ochsner is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Normal routine involves no exposure to blood, body fluid or tissue, but exposure or potential for exposure may occur.

The incumbent works with patients who have known or suspected communicable diseases and may enter isolation rooms. The incumbent has an occupational risk for exposure to all communicable diseases.

Are you ready to make a difference? Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Washington, New York, and Washington D.C.

Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or careers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

We are proud to be an Equal Employment Opportunity and Affirmative Action employer. We are committed to the principles of equal employment opportunity and providing a workplace that is free from discrimination based on race, color, creed, religion, pregnancy status, pregnancy-related conditions, national origin, ancestry, mental or physical disability, medical condition, age, veteran status, military status, citizenship status, marital status, familial status, sexual orientation, gender, gender identity or expression, genetic information, political affiliation, unemployment status, or any other characteristic protected under applicable federal, state or local law. These protections extend to applicants and all employment related decisions. View the EEO is the Law poster and its supplement, as well as the pay transparency policy for more information.

Affirmative Action Policy Statement


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Sr Financial Counselor - Patient Financial Services - Jefferson Hwy.

Ochsner Health System