Financial Counseling Representative I
Company: R1 RCM, Inc.
Location: Evansville
Posted on: March 18, 2023
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Job Description:
R1 is a leading provider of technology-enabled revenue cycle
management services which transform and solve challenges across
health systems, hospitals and physician practices. Headquartered in
Chicago, R1 is publicly-traded organization with employees
throughout the US and international locations.
Our mission is to be the one trusted partner to manage revenue, so
providers and patients can focus on what matters most. Our priority
is to always do what is best for our clients, patient's and each
other. With our proven and scalable operating model, we complement
a healthcare organization's infrastructure, quickly driving
sustainable improvements to net patient revenue and cash flows
while reducing operating costs and enhancing the patient
experience.
The Financial Counselor will be responsible for counseling patients
or parties responsible for payment. The Patient Financial Counselor
will educate patients on their responsibilities and potential
options. The PFC is responsible for accurately and compassionately
explaining to the patient their financial obligations during the
financial counseling session. In addition, the counselor must
obtain any necessary pre-certifications or authorizations and
assist with any financing or third-party applications.
In this role, the successful candidate must display a strong sense
of patient care and attention to detail.
Responsibilities:
Explain financial responsibilities for services received, payment
options and collection procedures to patients or parties
responsible for payment.
Counsel patients regarding insurance benefits and recommend
alternative sources of payment and financial assistance when
appropriate.
Contact insurance carriers or other sources and act as an advocate
for the patient.
Initiate process for collecting prepays due and perform follow up
activity to insure maximum collection is achieved.
Identify hospital, public and private financial assistance programs
for patients unable to meet their financial obligations.
Work with Case Management, Clinical Staff, Medicaid Vendor, and
Family Independence Agency to assist patients and families in
completing assistance program applications and determine
eligibility and coverage.
Notify manager, physician and servicing department of possible
delay of service for any elective, urgent admissions, procedures
and scheduled diagnostic testing which have not been approved prior
to the date of service.
Maintain accurate documentation of pre-processing information.
Provide assistance to uninsured patients and families in completing
and filing Medicaid or assistance program applications with the
appropriate agency.
Perform all other duties and projects as assigned.
Required Qualifications:
High school diploma is required
At least one year of call center experience
Attention to detail
Strong customer service experience
Ability to multi-task and navigate between multiple systems
simultaneously
Ability to handle a large volume of incoming calls
Desired Qualifications:
Previous experience as a financial counselor with background in
medical terminology preferred
Understanding of State and Federal assistance
Physical Requirements:
See, read, and/or operate computers, telephones, office equipment,
documents, labels, including manipulating paper requiring the
ability to move fingers and hands.
Remain sitting, standing, or walking for long periods of time to
perform work on a computer, telephone, or other equipment.
Frequent interactions with associates, patient care providers,
patients, and visitors that require associate to verbally
communicate as well as hear and understand spoken information,
alarms, needs, and issues quickly and accurately, particularly
during emergency situations.
Manual dexterity of hands and fingers to manipulate complex and
delicate equipment with precision and accuracy. This includes
frequent computer use and typing for documenting patient care,
accessing needed information banding patients, etc.
Need to walk and assist with transporting/ambulating patients and
obtaining and distributing supplies and equipment. This includes
pushing/pulling gurneys and portable equipment, including heavy
items (over 5 lbs.).
Working in an evolving healthcare setting, we use our shared
expertise to deliver innovative solutions. Our fast-growing team
has opportunities to learn and grow through rewarding interactions,
collaboration and the freedom to explore professional
interests.
Our associates are given valuable opportunities to contribute, to
innovate and create meaningful work that makes an impact in the
communities we serve around the world. We also offer a culture of
excellence that drives customer success and improves patient care.
We believe in giving back to the community and offer a competitive
benefits package. To learn more, visit: r1rcm.com.Working in an
evolving healthcare setting, we use our shared expertise to deliver
innovative solutions. Our fast-growing team has opportunities to
learn and grow through rewarding interactions, collaboration and
the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to
innovate and create meaningful work that makes an impact in the
communities we serve around the world. We also offer a culture of
excellence that drives customer success and improves patient care.
We believe in giving back to the community and offer a competitive
benefits package including:
Keywords: R1 RCM, Inc., Evansville , Financial Counseling Representative I, Accounting, Auditing , Evansville, Indiana
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