Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Responsibilities

The Financial Counselor assists patients by providing information to patients who require assistance navigating through their financial options.

1. Provide information to patients on costs, payment methods and alternatives to payments, including charity care.
2. Work with clinic staff to proactively identify patients with potential need for financial assistance.
3. Counsel patients on billing processes, hospital and clinic statements and availability of financial assistance.
4. Document financial arrangements for future care.
5. Provide answers to reimbursement questions regarding health-plan eligibility, benefit issues, co-pay requirements and medical referral requirements.
6. Receive and process charity care and/or financial assistance applications.
7. Work with health insurance providers to determine coverage and benefit limits.
8. Prepare estimates of procedures, calculates payments requirement, and informs patient of acceptable payment
arrangements on balance, both current and previous.
9. Verify financial information to determine insurance coordination of benefits, pre-certification/prior authorization requirements.
10. Explain alternative medical financing and assists in completion of applications and/or contracts in order to meet patient needs while assuring maximum reimbursement.
11. Perform other duties as assigned

Qualifications

Required Education and Experience

* High school diploma or equivalent required.
* 2 - 4 years related experience required.

Required Minimum Knowledge, Skills, Abilities and Training

* Knowledge of clinic financial options, payment alternatives and insurance billing/authorization requirements
* Knowledge of federal and state payor requirements, including Medicare, DSHS, HMO/PPO Contracts.
* Knowledge of the meaning and usage of medical terminology, abbreviations and coding protocols (e.g./ ICD-10) sufficient to perform the duties of the position.
* Strong analytic, organizational, communication and interpersonal skills.
* Demonstrated knowledge of accounting, credit and collection laws and fundamentals, and current insurance and government financial assistance programs and regulations.
* Possess a strong work ethic and a high level of professionalism.
* A team player who handles multiple projects simultaneously in a fast paced environment.

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