BOZEMAN, MT, 59772, USA
23 days ago
Patient Financial Counselor - REI/Fertility - Bozeman
You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006. And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here. About Us Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more (https://www.billingsclinic.com/about-us/) about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality. Your Benefits We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here (https://www.billingsclinic.com/careers/employee-benefits/) for more information ordownload the Employee Benefits Guide (https://ncstoragemlbillings.blob.core.windows.net/public/2021%20Billings%20Clinic%20Staff%20Benefits%20Guide.pdf) . Magnet: Commitment to Nursing Excellence Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Pre-Employment Requirements All new employees must complete several pre-employment requirements prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Patient Financial Counselor - REI/Fertility - Bozeman REI/FERTILITY BOZEMAN - 600.7610 (BILLINGS CLINIC BOZEMAN OB GYN) req10566 Shift: Day Employment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours every two weeks (Non-Exempt) Starting Wage DOE The Patient Financial Counselor is the main financial contact for patients with self pay balances and/or without adequate financial resources. Looks after the financial interests of the organization by securing sponsorship for patients unable to pay and collecting from patients able to pay. Interacts with patients prior to service through financial counseling at the time of pre-registration and pre- certification, at the time of service through bedside financial counseling, point of service collections, and after service collections through tracking of Medicaid, SSI, SSDI, MCP, VA, Crime Victims, CHIP, liens, estates, financial assistance applications, bank loan program, and telephone collections. Essential Job Functions + Review the Physicians' schedules daily to confirm all new patients, as well as all return-to-center patients are, or will be, scheduled for a financial consult either in person, virtually, or via the telephone. + Check all the patient’s participating insurance benefits have been confirmed. Assist in the benefit verification process as needed. + Evaluates self-pay account balances for transfer to bad debt and assignment to outside collection agencies. Handles all functions required under bankruptcy discharges and requirements. + Interviews patient and family members, identification of potential eligibility for SSI, SSDI, Medicaid, MCP, VA, Crime Victims, CHIP, liens, estates, financial assistance program and promotion of bank loan program. Assesses the situation and initiates the appropriate method to recommend/resolve the patient’s concern/dispute/issue. + Negotiates within established guidelines discounts with customers, including patients, attorneys and collection agencies. + Obtain any necessary precertification’s or preauthorization’s for all services as far in advance as possible. + Notify patient in advance of forthcoming financial obligation and secure payment. Self Pay patients and insured patients for non covered services. + Coordinates financial counseling efforts with entities of Billings Clinic, other physician’s offices, other community health care providers and patients regarding insurance related information, procedures cost and charge estimates, coverage issues, and options for patients without insurance. + Keep records and maintain deficiency report of instances when unable to clear patient prior to start date. + Work closely with the clinical team to determine if changes in treatment plan impact patient financial responsibilities. + Work cooperatively with Patient Financial Services to support their efforts to collect patient balances. + Follow-up with patients as necessary during the treatment plan process to ensure patients pay outstanding co-payments, balances, and coinsurance. + Answer patient calls and/or correspondence as it pertains to procedure pricing, financial policies, billing questions, claims submission, authorizations, and any other finance related issue + Accepts over the counter cash, check, credit /debit card payments, check by phone and finalizes bank loan paperwork with patients. Monitors, posts and adjusts on all collection agency payments. + Performs customer service as the primary point of contact by providing assistance to REI patient inquiries including account information, insurance billing issues (including pre-authorization or pre-certification), and quality of care issues as appropriate. Coordinates with other departments as appropriate and advises patients about the outcome. Participates as needed, and within established guidelines, in negotiation of discounts with customers, including patients, attorney and collection agencies. + Performs financial counseling for self pay, MVA, and commercial insurance patients with deductibles greater than established guidelines, resolves any issue that the patient presents from areas in the hospital, clinics, nursing home, and other areas of Billings Clinic. + Coordinates financial counseling efforts with entities of Billings Clinic, other physician’s offices, other community health care providers and patients regarding insurance related information, procedures cost and charge estimates, insurance coverage issues, and options for patients without insurance. + Coordinates with social workers, care navigators and case managers on an as needed basis regarding pre-certifications/authorizations and other financial aspects on the front end of the revenue cycle in order to impact discharge planning, Medicare denial and non-covered services letters, Medicare lifetime reserve election letters. + Establishes and monitors payments plans per policy and procedures and renegotiates payment plan arrangements when new accounts are combined into the payment plan or patient’s circumstances change. + Works with patient financial services department to manage self-pay account balances for transfer to bad debt and assignment to outside collection agencies. Minimum Qualifications Education + High school graduate or equivalent Experience + Prior patient accounts or healthcare collections, preferred Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more atwww.billingsclinic.com/aboutus (https://www.billingsclinic.com/about-us/) Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.
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