Financial Counselor
Company: Legacy Health
Location: Portland
Posted on: February 4, 2025
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Job Description:
Financial CounselorUS-OR-PORTLANDJob ID: 24-41063Type: Regular
Full-TimeEmanuel Medical Ctr campusOverviewAt Legacy, we understand
that making life better for others involves compassion in all of
our interactions. Guiding patients toward important financial
decisions while being sensitive to difficult or stressful
circumstances is an important aspect of the care we provide. If you
share this commitment and you'd like to grow with our
patient-focused healthcare system, we'd like to talk to you. The
financial counselor assists patients and their families often in
difficult times, providing financial, insurance and payment options
to resolve patient balances. In addition, the financial counselor
helps patients applying for various financial programs such as
Oregon Health Plan, Medicaid, Crime Victims and Charity Care, and
provides cost estimates upon request. Legacy Emanuel Medical Center
in North Portland plays a vital role as a local and regional leader
in serious clinical illness or injury. With around-the-clock
expertise for critical health issues, including experts in trauma,
heart care, burns, significant wounds, stroke, brain surgery and
more, Legacy Emanuel is central to the health of our community and
critical to the care of the Northwest. ResponsibilitiesProvides
Customer ServiceEffectively communicates directly with patients,
families, physicians, payors, attorneys, Clinical Resource
Coordinators, Utilization Review Coordinators, and toerh providers
while inhouse (patient), in person, by phone, or written
correspondence. Maintains positive communication and presentation
skills with patients/customers of diverse ethnic cultural
backgrounds and sensitive financial situations. If unable to
contact patient while inhouse, contacts patient after discharge to
discuss financial arrangements.Ensures all accounts for patient are
discussed with patient at time of contact.Reviews patient account
to determine if balance billed for is correct.Accurately
communicates account status and pending action to
customers.Coordinates patient account affects of
pre-authorizations, second opinions, insurance benefit limitations,
high dollar deductibles/copays with patients and families while
maintaining positive personal relations. Assists patients in
determining eligibility for Cobra assistance.Determines if patient
meets OHP eligibility criteria; may meet directly with patient or
family member to complete OHP form and enroll patient in OHP. Also
assists patients with other available financial resources such as
Crime Victims, Medicaid in other states, Family Health Insurance
Assistance Program (FHIAP) and Charity Care. Sets Payment
ArrangementsUnderstands and communicates Legacy payment policy to
patients, guarantors and other appropriate individuals.Calculates
payment options per Legacy policy, abiding by laws governing
payment plans and payment contracts.Documents all options discussed
and payment plan established.Monitors payment plans after they have
been established.Rebills, transfers payments, requests refunds or
adjusts misapplied payments as necessary.Reviews pre-admit accounts
to determine if an account is truly self-pay, determines medical
necessity, then contacts patient/guarantor regarding, deposits,
payment arrangements or OHP. Performs Account ServiceSets deadlines
for future action on accounts; action taken includes but is not
limited to scheduling follow-up, making adjustments, placing phone
calls, turning accounts collections, checking for insurance
coverage as necessary, and making payment arrangements.Understands
and follows Legacy procedures for writing off small balance
accounts.Request refunds when appropriateDetermines when an audit
is necessary.Understands and abides by laws governing customer
Bankruptcy filings.Understands and abides by Legacy policy relating
to accounts of deceased patients and laws governing account
responsibility.May interview customers and assist as appropriate in
obtaining needed demographic, insurance, health and financial
information and completed/signed forms required for services and
confirmation of payment source.Obtains pre-admission deposits. May
verify insurance coverage, reviewing and validating registration,
additional insurance, and provider information. Transfers
appropriate accounts to hospital attorneyFollows up on requests
from attorney for billings, obtaining lien satisfactions, medical
records or itemized statements.Provides advice to attorney on
settlement questions. Maintains a working knowledge pertaining to
Insurance Issues, which includes but is not limited to Motor
Vehicles, Workman's Comp, Medicare, OHP/Washington Welfare/Medicaid
Blue Cross and Commercial payors. Participates in Oregon Health
Plan (OHP) training classes. QualificationsEducation: High school
graduate or equivalent Experience: Two years of directly applicable
healthcare business office experience and/or applicable self pay
collection experience Skills: Demonstrated negotiating,
problem-solving and decision-making skills. Demonstrated
understanding of complex collection issues inherent in high
dollar/specialty accounts.Demonstrated knowledge of multi-payor
systems. Demonstrated knowledge of billing/collection rules and
regulations.Knowledge of online eligibility systems and status
review of claims. Net Typing of 40 wpm and PC based computer
skills.10 key proficiency.Knowledge of medical terminology. Ability
to work efficiently with minimal supervision, exercising
independent judgment within stated guidelines.Demonstrated
effective interpersonal skills that promote teamwork and
cooperation.Ability to withstand varying job pressures,
organize/prioritize related job tasks and demonstrate excellent
attention to detail.Excellent public relations skills and
demonstrated ability to communicate in calm, businesslike
manner.Ability to multitask, learn new skills, and adapt to
change.Ability to work in a fast-paced environment independently or
as part of a team Legacy's Values in Action: Follows guidelines set
forth in Legacy's Values in Action Equal Opportunity
Employer/Vet/Disabled Compensation details: 21.45-30.66 Hourly
WagePId76fd906448c-25660-36081575
Keywords: Legacy Health, Portland , Financial Counselor, Accounting, Auditing , Portland, Oregon
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