Financial Counselor
Prime Healthcare
Financial Counselor
Prime Healthcare
Acquires and reorganizes underperforming hospitals
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Saint Mary’s Health Network, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
As a long-standing community partner with a 116-year history, Saint Mary’s Health Network offers Northern Nevada inpatient, outpatient, ancillary, and wellness services. Nationally recognized and accredited by the Joint Commission, as well as named one of the Top 100 Hospitals by Fortune/Merative and America’s Best 250 hospitals by Healthgrades, Saint Mary’s Regional Medical Center is a 352-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center for Cancer, surgical and orthopedic services, and an award-winning Cardiology program and more. The health system, a member of Prime Healthcare, also operates a fully-integrated Medical Group, multiple urgent care clinics, freestanding imaging, lab, and primary care clinics. For more information, visit www.SaintMarysReno.com.
Financial Counselor determines patient liability based on benefits and advises patient of their liability. Prior to scheduled elective procedures notifies patient of financial responsibility. Make arrangements for payment from patient or guarantor by time of discharge. Assists patient with financial arrangements, and refers qualified patients to government assist programs. The incumbent also serves as financial counseling liaison for the department. Maintains effective communication skills, including verbal, written and telephone. Proficient in mathematical skills. Ability to communicate with school age, adolescent, young adult, middle adult and older adults.
EDUCATION, EXPERIENCE, TRAINING
1. Knowledge of standard insurance companies and verification requirements.
2. Well versed in authorization processes for all payers
3. Ability to multi-task, prioritize needs to meet required timelines
4. Analytical and problem-solving skills
5. Customer Services experience required
6. High School Graduate or GED Equivalent preferred.
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Acquires and reorganizes underperforming hospitals
Prime Healthcare operates a network of hospitals and outpatient centers across the United States, concentrating on turning around financially struggling facilities. It invests in infrastructure and technology, restructures operations, and negotiates payer terms (including pursuing higher out-of-network reimbursements) to improve financial performance, and it manages both for-profit hospitals and not-for-profit facilities through the Prime Healthcare Foundation. The company aims to raise clinical quality and patient safety while expanding access in hundreds of communities, though it has faced legal and regulatory scrutiny over billing practices and service-line decisions. Its goal is to stabilize and improve the financial and clinical performance of underperforming hospitals so they can continue serving their communities.
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