Providence Financial Counselor in Hood River, Oregon
Providence is calling a Financial Counselor - Clinical Program Improvements (0.0 FTE, Days) to Providence Hood River Memorial Hospital in Hoodriver, OR.
We are seeking a Financial Counselor - Clinical Program Improvements who will be a part of a team that handle the direct interaction with patients and their families during difficult times, providing financial, insurance, and payment information to assists them in resolving patient account balances. The Financial Counselor will in addition educate patients on various sponsorship programs available. The Financial Counselor is the Regional Business Office liaison with his/her assigned hospital.
In this position you will have the following responsibilities:
Interview patient/guarantor to capture and understand key financial data to determine the patient's general financial situation and ability to pay for balances due or qualify for financial assistance
Provide extensive knowledge of financial, insurance, and payment information of various community and PHS resources to offer customer/patient in resolving account balances. (i.e. federal programs, pharmacy program, etc.)
Take ownership of accounts and prioritizes incoming cases and work-in-process caseload, using principles of stratification
Maintain knowledge of state and federal Medicaid/Medicare assistance programs/requirements, Oregon Health Plan, Oregon Medical Insurance Pool, evaluating patients financial and medical records to determine eligibility for programs
Review and interpret billing statements, charge information, private or government insurance benefits, and other related information (for multiple hospitals, clinics and insurance companies) while resolving account balances
Maintain high level of industry knowledge of insurance benefits and provide education to customers and peers regarding insurance benefits, managed care contract discounts and payment systems (DRG, Flat Fee, Per Diem, Charge Based)
Facilitate completion of Medicaid and OHP applications, eligibility and receipt by the state, within designated timelines
Collaborate with the Medicaid Specialist on follow up of Oregon Health Plan and Medicaid referrals
Ensure that all avenues of reimbursement or assistance are pursued to guarantee payment for uninsured or under-insured patients
Approving full or partial charity assistance when appropriate
Provide education regarding charges and billing information to patients or insurance companies
Escalating charge discrepancies as appropriate to RBO contacts for care department review
Assist customers in contacting third party providers or insurance companies to resolve issues as appropriate
Provide follow-up on internal and external customer calls in a timely manner to ensure comprehensive and complete service in meeting patients needs
Negotiate payment arrangements, determines financial assistance limits up to $1000 and/or sets up payment plans
Resolve complex patient issues and concerns that present at the on-site office, and communicates with the RBO in order to help resolve issues, as appropriate
Notify RBO personnel of any re-billing, charge adjustments, refunding or collection intervention that needs to occur
Utilize solid judgment and adhere to all policies ensuring the protection of confidential information related to patient demographics, medical information, diagnosis codes, etc. according to both internal and Federal HIPAA regulations and guidelines
Required qualifications for this position includes:
High School diploma -OR- equivalent
Three (3) years of experience in a hospital business office, in a financial leadership role
Experience with medical and health plan terminology, CPT codes, ICD-9 coding
Experience in automated, computerized account follow-up system
Preferred qualifications for this position includes:
Knowledge in reimbursement of healthcare accounts from insurance companies
About Providence in Oregon
As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,
"Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
For information on our comprehensive range of benefits, visit:
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Schedule: On Call
Job Category: Patient Services
Location: Oregon-Hood River
Req ID: 267306