Description

Delta Health offers health care professionals and people from all walks of life an opportunity to find fulfillment in their jobs as part of a close-knit team. We pride ourselves on our positive work culture . Our team members understand our fundamental commitment to the community and rally around the motto "Excellence, Every Patient, Every Time." When you embark on a journey with us, you'll take pride in your work and the impact you have, while building a career with focus and purpose.

The Financial Counselor is responsible for providing patients with a positive financial experience by helping patients navigate and understand insurance benefits and potential financial liability. Financial Counselors are the patient's point of contact for financial assistance questions. The Financial Counselor collects payments, sets up payment arrangements as appropriate, creates estimates, advises patients in person and over the phone on their insurance benefits and coverage, and in some cases, assesses patient referrals for appropriateness. The incumbent assists patients with Delta Health (DH) financial assistance program, and other options for managing high medical liabilities.

• Serve as the point of contact for all financial assistance related questions. Communicate with patients to identify and understand financial, social, and medical histories and other relevant patient information.
• Gather all relevant information required to process financial assistance requests; including but not limited to working with providers on treatment plans, best practices, and related necessary medical opinions. Document all communication and follow up in the EMR.
• Assess the current financial situation of patients through the verification of patient insurance benefits; serving as the technical expert in confirming patients benefit coverage and hospital reimbursement.
• Determine the patient's financial ability to pay and explain insurance coverage and benefits to the patient.
• Initiate the financial screening process as appropriate to evaluate eligibility for assistance programs. Assist the patient in completing financial statements and gathering supporting financial documentation.
• Complete the referral pattern for patients with financial risk.
• Determine eligibility for care at DH by assessing patient eligibility for Medical Assistance, Emergency Medical Assistance, Community Programs, and Government Programs.
• Assess and offer payment alternatives which may include prepayment for elective care, applying for DH financial assistance program, alternative treatments.
• Identify eligible financial programming options and assist in completing all necessary documentation for specific federal, state, or DH financial assistance programs.
• Assist in obtaining exceptions to the out of network determinations from insurance companies, escalate if necessary
• With provider involvement, determine urgency of scheduled care for patients with large financial liabilities resulting in either a decision to proceed or a decision to obtain sponsorship.
• Explain DH payment policy to patients if a program is not available. Calculate and explain any patient liability before or at the time of service.
• Counsel patients on out of pocket liabilities. Collect deductibles, pre-payments, and outstanding balances following established collection procedures; or alternatively, create a payment plan with the patient and document the agreement appropriately. Respond to financial auditors and ensure the submission of quarterly and year-end reports to the state.
• Knowledgeable about Medicaid, charity policy, CICP application, MDCRIN application, disability programs and any local medical financial help available.
• Completing financial assistance applications on available programs and plans. File applications after director approves, record write-off transactions and reports a yearly summary to CICP and auditors. Attend CICP training session.
• Other duties as assigned.
• Fiduciary Responsibility. The Financial Counselor is a fiduciary of the organization, and is obligated to act in the best interest and for the benefit of the organization at all times.

Requirements

Shifts: Fri, Sat, Sun, Mon

• High School graduate or equivalent required. Associate degree in Business, Finance, Healthcare Administration or related field preferred.
• Minimum of (1) one-year experience in Health Care Revenue Cycle, insurance or financial institution. Two (2) years' experience in Healthcare Revenue Cycle preferred.
• Ability to work in a busy, loud, and demanding environment.
• Must independently recognize and evaluate situations for the level of urgency.
• Experience in providing a high level of customer service.
• Strong emotional intelligence and empathy.
• Excellent written and oral communication skills.
• Maintains effective and cooperative working relationships with co-workers, leaders, clinical staff and the general public.
• Must be detail oriented and accurate.
• Ability to multi-task and prioritize tasks.
• Displays an aptitude and willingness to learn new responsibilities.
• Ability to problem-solve and work independently.
• Experience operating office machines such as personal computers, fax machines, photocopier, and document scanners.
• Familiarity with medical terminology and abbreviations.
• Proven ability to maintain confidentiality of sensitive information.

Summary

Why Delta County - Click Here

Delta Health is a county-wide healthcare system that has been serving the Western Slope for over 100 years. We have grown to a 49-bed hospital with locations throughout Delta County. We proudly provide a wide range of medical services that meet the diverse needs of our community members. At all stages of life, we are here to provide remarkable care in a healing environment.

Open Benefits Summary

Employee Benefits: Medical, RX, Dental, Vision, Retirement, PTO, and Scholarships towards continued education.

Medical: Low monthly premiums; 100% coverage for all services provided within our Delta Health System without a deductible or co-payment. We offer alternative coverage to include massage, acupuncture, and chiropractic care. Employer paid Life and Disability coverage.

Paid Time Off: 4 plus weeks of vacation (CAL) a year for Full-Time employees including sick pay and personal time off.

Retirement: 403B Plan -Up to a 3% retirement match.