Financial Counselor E&E RC
Wellstar Health Systems

Atlanta, Georgia

This job has expired.


Overview

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Responsibilities

This position represents WellStar facilities in financial matters pertaining to communication with patients and
insurance companies, appropriately documenting and reporting payment information, educating patients regarding
available payment options, financial assistance or other available services. Has a working knowledge of the rules and
regulations pertaining to government programs to include appeals and hearing requests. Responsible for updating
patient account information during pre-admission, inpatient, and outpatient phases of the patient's visit. Screens Inhouse referrals within a defined timeframe. Files patient applications with applicable government agency/program.
Collect and submit verifying documents necessary for application approval and follow up as needed until final
approval is received. Review application denials with patient and file timely appeals. Field visits may be required as
needed to contact patient to obtain missing or incomplete information. Possess the ability to communicate with
hospital case managers, social services and admissions staff on screening determination outcomes. Provide detailed
documentation in the electronic system of application status or pertinent details of a case.
Acts as intermediary with Admitting, Business Office, patients and family members while the patient is hospitalized.
Maximizes point of service collections by addressing and resolving patient liability balances, current and outstanding
prior to or by patient discharge. Minimizes financial risk for the patient and for WellStar Health System to identify the
correct insurance plan, plan type, and WellStar's network participation. Coordinate appropriate notification and
verification to obtain precertification or authorization for services rendered as applicable.
Strong customer Service skills are required, as well as the ability to communicate effectively with internal and external
customers to include patients, families, insurance providers and Physicians.
Identify and offer any discount programs for which the patient may qualify based on services and location. Identify any
applicable alternative sources of payment and provide referrals and or applications to state, federal or other local
agencies that may provide financial assistance as applicable for the services and the service location.
Follows established internal policies and procedures for processing payments, receipts, cash handling etc.
Strong organizational skills are required. Sorts, files and maintains various documents and electronic records..
Assists with general hospital information and directions to departments both internally and externally . Dresses in
appropriate business attire. Strong verbal and written communication skills are required. Responsible for responding
to patient inquiries regarding charges and account settlement.

Qualifications

Required Minimum Experience: At least two years of related experience, in a healthcare or institutional work setting.
Worked in healthcare setting performing Insurance verification and prior authorizations. Demonstrated ability working
in the Epic Electronic Health Record.

Preferred Experience: At least four years of Patient Access Service, Patient Financial Service or Collections work
experience. Certification as a Certified Patient Account Representative (CPAR) though Georgia HFMA (Hospital
Financial Management Association) or similar within 12 months of hire date.

Required Minimum Skills: Typing or data entry competency of 40 words/minute.
Cash handling and balancing. Demonstrated professionalism, effective verbal and written communication skills and
active listening skills. Proficiency using Microsoft Office Suite (WORD, Excel, PowerPoint, Access, Outlook).
Preferred Skills: Knowledge of medical terminology, CPT codes, HCPCS & ICD-9/ICD-10 codes. Detail
understanding and interpretation of Explanation of Benefit's (EOBs). Bi-lingual. Ability to present to a group audience
and lead a business meeting.
Other: Mandatory completion of any assigned registration courses within 90 days of employment. Mandatory
completion of all assigned Epic courses within 60 days of employment.
Required Minimum Licensure: N/A

We'd like to invite you on a career journey like no other! In return for your contributions, we'll help you make the most of all life's moments - on and off the job. Wellstar Total Rewards is designed to provide for your total well-being, including: Your Wellness, Your Pay, Your Future, Your Joy. We think it's pretty simple - we care for our team members and our team members care for the community.

Make a difference in patients' lives... and your own! Here, it's more than healthcare - it's CareerCare!


This job has expired.
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