Admitting Services Intake Counselor

Patient Financial Services Representative

Ensures patients have coverage for their hospital stay. Obtain complex financial information regarding patients from various sources, notify insurance companies and assist with obtaining insurance authorizations. Handles and tracks payments, special package plan agreements, financial assistance paperwork; assists with obtaining Medicaid applications, alternative financing and verifying coverage from other third party payers in a variety of hospital settings. Secures payment for balances on inpatient and outpatient accounts. Assist Supervisor and Lead with the monitoring of patient financial issues and audit registration regulatory forms for accuracy daily or by shift. Updates financial and demographic information in the ADT system.

Addresses complex financial issues with patients; explains HonorHealth financial policies. Determines point of service amounts due and collects. Obtains signature on all financial documents, include package plan agreements and insurance waivers. Assists with the application process for Medicaid coverage by working with DES office or the vendor assigned to fulfill the Medicaid application. Monitors status of Medicaid applications.

Performs daily follow up on unverified and pending accounts; ensures that all regulatory forms are completed and signed in a timely fashion. Ensures all demographic and financial information (including insurance verification and eligibility) is on account.

Monitors authorizations for through dates and updates authorizations as needed. Notifies Case Management of patients that are likely to exhaust their Medicare days. Educates patients regarding rights, obligations and policies. Ensures account is secured or takes necessary steps to do so.

Performs general cashiering duties as necessary including receiving and posting payments to appropriate patient accounts and/or general ledger account. Prepares receipts, daily bank deposits and batch receipts. Maintains balanced cash drawer.

Adheres to all third party payer requirements for both government and commercial payers such as DNV requirements, EMTALA provisions, HIPAA and reimbursement criteria. Keeps management informed of all unique situations and problem accounts while identifying opportunities to improve work processes.

Education: Associate's Degree Or business school diploma - Preferred

High School Diploma or GED - Required

Experience: 2 to 3 years of hospital registration/related field with customer service experience/insurance verification - Preferred

1 year related experience - Required

Licenses and Certifications