Financial Counselor

Responsible for verifying insurance coverage and estimating patient responsibility for patient’s being admitted for inpatient or outpatient services and to provide the A&R staff with the most accurate data based on the information provided. Duties include preparing billing packets, interviewing patients to verify demographic and insurance data is accurate from the information provided by A&R. Patient Account Representatives must meet with patients either in the outpatient or inpatient unit to collect patient out-of- pocket expenses and or to apply them for medical assistance when the need arises.

KEY RESPONSIBILITIES :

Patient Admissions : Pre-verify insurance information for patients being referred to facility for treatment. Interviews incoming patients or relatives to obtain pertinent data and verify insurance coverage. Enters data into computer system with accuracy. Prepares and completes billing packets.

Census : Prepares and balances outpatient and inpatient daily stats and update reports accordingly.

Financial Counseling : Estimates patient responsibility and provides financial options to patients and authorized family members on admission. Set up payment arrangements with self-pay patients. Collects payments when applicable. Enter payments in online payment system.

Daily Discharges : Prepares and ensures billing packets are complete, scans and index in Doclink.

Mail : Opens all mail pertaining to the Business Office, enters comment for authorization, denials and EOB’s. Scans in Doclink and files in monthly Business Office folder.

Deposits : Prepares deposits for any cash or checks received at physical location.

Refunds : Reviews AR for overpayments and if applicable prepare patient or insurance refund.

CBO Inquires : Responds to all emails from the CBO for claim resolution in a timely manner.

Reports : Downloads reports from AIS and work in proper format.

This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of Reno Behavioral Healthcare Hospital.

Requirements

Knowledge and Experience :

• High school degree or equivalent required.
• Two years’ healthcare experience preferred.
• Knowledge of CPT / ICD-10 coding helpful.
• Demonstrated knowledge of medical terminology and insurance billing.
• All direct patient care staff will be trained in BLS (CPR), which must be renewed every 2 years.
• All staff, both clinical and non-clinical, will be trained in CPI as part of their orientation. All direct patient care staff will be retrained every year

Skills and Abilities :

Physical Requirements :

While performing the duties of this job, this position is frequently required to do the following :

Benefits

We proudly offer the following benefits available 1st of the month following just one month of employment :