Kettering Health Network

Patient Financial Counselor-Administrative Support Building-Full-time 1st shift

Posted Date 4 weeks ago(6/8/2020 11:39 AM)
Job ID
2020-22732
Job Category
Patient Financial Services
Job Type
Full-Time
Shift
First Shift
# of Openings
1
Shift Time
days
FTE
80 Hours Per Pay Period/FTE 1.0

Overview

 

Campus Highlights

 

  • Strong connection to our local community in Greene County through our Greene Memorial Foundation supporting and sponsoring over 300 events every year.
  • Close knit, growing community; Neighbors serving Neighbors
  • Quarterly Townhall meetings for campus and KHN network updates
  • Monthly employee engagement activities including; food trucks, ice cream socials, etc.
  • Beavercreek’s 675 is one of the fasted growing corridors in the state of Ohio bringing new business, restaurants, and retailers regularly.
  • Our serene, hotel-style environment is specifically designed to promote peace and healing.
  • Award Winning chefs
  • Click here to learn more!

Department Overview

SUMMARY OF MAJOR FUNCTIONS: A summary of major functions performed on the job including: reason for the position; basic overall responsibility.

 

   This position, under the direction of the Network Point of Service Collection and Financial Service Manager and is responsible for providing exceptional “Best Practice” patient financial services with kind consideration to patient concerns while committed to identify a financial solution to meet the patient’s needs; payment arrangements, Medicaid application direction, Hospital Care Assurance Program (HCAP), KHN/KPN Financial Assistance Program and review financial applications, documentation in Epic, On Base, Mail, Fax or email to determine eligibility for financial assistance. Adjust accounts per program guidelines and inform patient of additional information needed or final approval. Supports Point of Service Collection processes and is resource providing financial service training for the Network including registration, pre-registration, pre-service and other areas located in but not limited to in Patient Access Departments and Kettering Physician Network.

 

 

Responsibilities & Requirements

MAJOR DUTIES AND RESPONSIBILITIES:

  1. Reviews patient Work queues assigned for Self-Pay and Insured Patients who may qualify for financial assistance, financial dialogue regarding payment options including Medicaid, Hospital Care Assurance Program (HCAP) and KHN/KPN Financial Assistance Programs screening.
  2. Monitor Medicaid Pending Number email; respond upon request for a Medicaid pending number and forward to Vendor to complete.
  3. Provide patients with financial solutions, payment plan, completing the financial assistance application, explain application requirements such as proof of income requirements and timeframe in which to return requested documents.
  4. Maintain communication with patients in person, by email, mail and or by telephone.
  5. Update and correct Epic registration to appropriate financial assistance program per eligibility, Income and family size (FPL) in EPIC
  6. Adjust discounted rate per financial assistance guidelines
  7. Face to face meeting with patient in person onsite or skype at hospital facilities as needed per team rotation schedule
  8. Answer calls promptly as received through the Financial Counselor Service Line
  9. Maintain and monitor Financial Counselor shared email to respond within 24 hours of receipt
  10. Review and sort financial counselor mail; applications and POI received and stored in On Base Tool for review
  11. Meets KHN as well as Industry Standards for accuracy of Pre-Registrations and Financial Clearance Standards.
  12. Provide financial assistance and POSC education; patients, Case Managers, physicians’ offices, ancillary department staff, Medicaid Eligibility staff, PFS staff, and PAS staff in a polite, respectful, and professional manner.
  13. Demonstrates that communication on an intra and interdepartmental basis is positive.
  14. Demonstrates complete understanding of the Registration process
  15. Provide patient estimates per request utilizing estimator software to acquire co-insurance, co-pay and deductible amount due at time of service.
  16. Utilizes Medical Necessity software and Passport (RTE) to check for Medical Necessity and Insurance Eligibility plus benefits.
  17. Maintains knowledge of Financial Counselor Dress code and maintains compliance with the policy.
  18. Knows and uses Standards of Behavior in all internal and external communication and interaction.
  19. Understanding of general safety, fire safety, equipment management, hazardous materials, right-to-know, disaster plan, universal precautions and infection control
  20. Assist the POSC Coordinator and Manager, plus the Network Director and Executive Director in all other duties assigned or directed.
  21. Keep Coordinator and Manager informed of issues relating to the overall efficiency and well being of the department.

 

Preferred Qualifications

 

 

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