MH Financial Counselor

SUMMARY

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers, and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

• Instill Trust and Value Differences
• Patient and Community Focus and Collaborate

RESPONSIBILITIES

KEY RESPONSIBILITIES:

• Screens all self-pay patients, identifies solution(s), and facilitates patient payment and/or solution application process (manual and/or electronic)
• Collects and verifies patient demographic, insurance eligibility, and financial information/responsibility and accurately documents in hospital computer system(s)
• Follows up and obtains all documentation required for application processing and accurately enters information into hospital and external systems as appropriate
• Identifies via workflow technology current and prior patient responsible balances, educates patients on their financial responsibilities, and collects same
• Assists patients in establishing secured installment plans when applicable
• Interviews patients bedside or via telephone as needed to facilitate timely and effective payments and/or complete insurance solution application process
• Monitors, manages, and actively follows up on active large self-pay and long length of stay accounts to ensure solution modifications in place for patients and optimize ultimate payment for the hospital
• Establishes schedule for walk-in insurance assistance applicants and facilitates application process for same
• Fields patient billing inquiries and refers to appropriate PFS staff for resolution
• Responsible for consistent and accurate use and execution of department SOPs (established operating procedures) and supporting tools, software, websites
• Meets performance standards established by Patient Access leadership, including but not limited to: quality, collections, customer service, screening/solution rates, productivity
• Keeps current with all internal and external policy and procedures that may affect reimbursement
• Works effectively with patient access peers and other hospital departments
• Delivers exemplary customer service for patients in accordance with hospital expectations and guidelines
• Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment
• Commits to recognize and respect cultural diversity for all customers (internal and external)
• Communicates effectively with internal and external customers with respect of differences in cultures, values, beliefs, and ages, utilizing interpreters when needed
• Performs other duties as assigned

MINIMUM QUALIFICATIONS

REQUIRED QUALIFICATIONS:

• 2-3 years in hospital registration/billing office/clinic with a current working knowledge of registration, insurance, and billing requirements
• Competent utilizing Microsoft Office, e.g. Excel, Access, PowerPoint, and Word
• Maintains working knowledge of private, public, and third-party payer insurance and related regulations
• Familiarity and experience with revenue cycle software, tools, and technologies
• Analytical, e.g. competent math skills
• Advanced knowledge of healthcare finance
• Knowledge of medical terminology
• Excellent customer service/communication skills required
• Ability to work with a high degree of confidentiality
• Attitude/familiarity with the tools, systems, and technologies to enable insurance verification and facilitate insurance solutions
• Comfortable with securing solutions for uninsured patients
• Knowledge of health insurance and reimbursement/billing required
• Ability to problem solve and follow through under ambiguous circumstances

EDUCATION

Associate's degree preferred. High School Diploma or equivalent required.

Pay Range

$19.43-$28.36

Location

Morton Hospital - 88 Washington Street Taunton, Massachusetts 02780

Work Type

M-F 40 hours days per week

Work Shift

Day

Driving Required

No

Union

1199 SEIU United Healthcare Workers East

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.