Providence Health & Services Financial Counselor in Portland, Oregon
Providence is calling a Financial Counselor (1.0 FTE, Days) to Providence Office Park Portland in Portland, OR.
*This position floats between 7 different hospitals in Oregon and requires travel as needed for this role whether last minute or scheduled*
We are seeking a Financial Counselor to be part of a team who handles 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 include:
High school diploma or equivalent
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 include:
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.
We offer a full comprehensive range of benefits - see our website for details
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 Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. 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.
Job Category: Patient Services
Req ID: 251376