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Guidehouse

Advises agencies and runs regulated operations

Financial Counselor

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeBirmingham, AL, USAIn-person

About the Job

Requirements

  • A high school diploma or GED, or 3 or more years of relevant experience in lieu of education.
  • 1 to 3 years of prior relevant experience in financial counseling, social services, or healthcare-related customer service.
  • PC skills in a Windows environment are required; knowledge of Word and Excel is helpful.
  • Ability to initiate and follow through on projects and work independently.
  • Working knowledge or experience with federal, state, and county eligibility programs.
  • Ability to type 35 to 45 words per minute.
  • Computer, fax, and telephone etiquette is required.

Responsibilities

  • Determine patient responsibility and eligibility through insurance and federal, state, or county government benefits.
  • Review accounts for proper plan codes, financial class, and patient type.
  • Contact appropriate agencies to verify assumptions of liability.
  • Negotiate flat rates on accounts where the patient has no linkage to government programs.
  • Meet with patients at bedside and inform them of financial responsibility prior to discharge.
  • Set up payment plans with patients prior to discharge and document payment arrangements in patient accounting systems. Provide patients with mailing envelopes and payment dates before discharge.
  • Collect monies from patients when there is an estimated patient liability due on the account.
  • Monitor Medicare days and coinsurance days on in-house patients. Review all in-house Medicare accounts on the 1st and 15th of each month and update accounts with detailed eligibility information.
  • Represent patients at Medicaid or SSI fair hearings and appeals.
  • Interface with facility Social Services and Case Management Departments regarding inpatient admissions and discharges.
  • Document all payer and patient financial information in the hospital computer system.
  • Retrieve inpatient census patient information within the facility to follow up on in-house patients who are uninsured or underinsured.
  • Obtain complete and accurate patient and financial information, including possible insurance, by communicating with patients, family members, and physicians regarding their stay.
  • Communicate daily with coworkers, hospital staff, and management regarding account progress or other issues.
  • Use organization and prioritization skills in daily tasks and time management skills to complete daily processes.
  • Maintain open and positive professional oral and written communication.
  • Do not indicate or suggest to patients that their debt will be relieved through a charity-care write-off before a determination has been made.
  • Assist all walk-in patients with liquidation options on accounts.
  • Perform other related job duties as assigned.

Desired Qualifications

  • Experience with medical terminology, data entry, prior admitting, entitlement, business office, or physician office work.
  • Bilingual ability in English and Spanish.
  • Healthcare background.
  • Knowledge of MS4.

About the Company

Guidehouse

Advises agencies and runs regulated operations

Guidehouse advises government agencies and companies in regulated industries on strategy, technology and day-to-day operations. Its work combines business advice with software implementation and ongoing management, so a client uses the same firm to plan a change, build the systems and run the resulting processes. Teams modernize cloud platforms, apply data analysis and artificial intelligence, and redesign organizations to meet operating and regulatory requirements. Clients pay for consulting projects and technology work or outsource continuing business functions to its managed services teams. Guidehouse was founded in 2018 and is headquartered in McLean, Virginia.

Company size
10,001+
Company stage
Acquired
Total funding
$750K
Headquarters
McLean, VA
Founded
2018

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