Account Resolution Specialist/Patient Financial Counselor

Description

The Account Resolution Specialist/Patient Financial Counselor is responsible for researching, resolving, collecting on accounts, and assisting patients of JPH with financial counseling. This is a fulltime position with benefits including medical, dental, vision, life insurance, short and long-term disability, retirement, accrued time off, holiday pay, and other supplemental plans. 

ESSENTIAL FUNCTIONS/RESPONSIBILITIES:

· Responsible for providing quality customer service while performing and resolving patient account issues.

· Researches and resolves clinic or hospital billing issues and complete necessary follow-up correcting any incorrect claims.

· Reviews clinic and/or hospital accounts; Codes and updates charges and adds modifiers. 

· Monitors charges, making sure they are correct.

· Help cover the Switchboard if needed.

· Works ques in SSI or Emergency if applicable.

· Assist with completion of Medicaid applications.

· Counsels patients on help with financial assistance including working with them to set up a payment plan or help with Medicaid if applicable; monitoring approved Medicaid patients making sure their accounts get filed correctly.

· Works closely with other Ars for 3rd party claims.

· Works self-pay accounts including credit balance, bad debt reports, and bad debt recovery.

· Takes payments and assists with deposits; daily deposit verification

· Perform other assigned duties as necessary to support the Business Office or as assigned by supervisor.

· Informs management of any operational issues or customer satisfaction issues.

• Maintains and ensures patient confidentiality at all times.

• Reports to work on time and as scheduled; completes work within designated time frames.

• Attends staff meetings as scheduled. 

• Checks emails daily.

• Represents the organization in a positive and professional manner.

• Adheres to JPH policies and procedures.

This description is a general statement of required essential functions performed on a regular and continuous basis. It does not exclude other duties as assigned.

Requirements

EDUCATION, TRAINING, AND EXPERIENCE:

· High School graduate or equivalent. 

· Minimum of (2) years of related work experience in a health care setting preferred.

· ICDIO & CPT Code knowledge preferred.

· Insurance knowledge preferred including Medicare, Medicaid, and Commercial insurances.

LICENSURE/CERTIFICATIONS:

· None

LANGUAGE AND PROFICIENCY REQUIREMENTS:

• Able to communicate effectively in English, both verbally and in writing. 

• Strong written and verbal skills.

SKILL REQUIREMENTS:

· Ability to work alone or with minimal supervision.

· Professional/Courteous rapport with patients, families, co-workers, physicians and visitors.

· Ability to work under and handle stress in an appropriate manner.

· Ability to work long hours between breaks and meals, if necessary. 

· Basic computer competency. Must be proficient in Microsoft Word and Excel.

MACHINERY/TOOLS/EQUIPMENT REQUIREMENTS:

· Ability to operate and troubleshoot telephone, fax machine, copy machine, computer, and printer/scanner.