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The Financial Counselor advises patients on all matters related to payment for hospital services. Serves as a resource for hospital staff and external contacts regarding policies, procedures, and forms related to financial requirements for hospital services. Provides assistance with other department activities as needed.
Standards:
* Courteously meets with patients and families regarding financial obligations.
* Assesses patient’s eligibility for CNE Charity Care, payment arrangements, health insurance opportunities, etc.
* Holds State of RI Navigator License, will train.
* Assists patients in resolving all open accounts.
* Conducts follow-up and resolves issues in a timely manner.
* Serves as a resource for hospital staff and external contacts regarding policies, procedures, and forms related to financial requirements for hospital services.
* Verifies third-party sponsorship eligibility through online resources.
* Documents information accurately in the hospital financial and information systems.
* Obtains billing information and completes necessary work to ensure that information is delivered to the correct biller.
* Explains financial requirements and insurance/third-party payor hospitalization benefits to the patient or responsible party.
* Interprets and provides information regarding patient’s copayment responsibilities and any applicable coinsurance, deductible, and lifetime maximums.
* Collects patient liabilities.
* Applies appropriate Community Benefit and Prompt Pay discounts as applicable.
* Meets with patients who are Medicare exhausted and evaluates for additional payment sources.
* Follows up on missing insurance/financial forms.
* Verifies accuracy of prepared material prior to submittal or distribution.
* Completes required reports in a timely manner, prioritizing workload.
Specifications:
* High School diploma required; Bachelor's degree preferred, with a minimum of two years of hospital finance experience required.
* State of RI Navigator Certification preferred (will train).
* Must possess excellent human relations and communication skills.
* Knowledge of personal computers and strong analytical skills required.
* Position requires scheduling flexibility and the ability to work in a fast-paced clinical setting.
* Proficiency in English required.
* Spanish language skills preferred.
Care New England Health System (CNE) and its member institutions, including Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and offering renowned services and innovative programs to engage in important health discussions.
Americans with Disabilities Act Statement: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
Ethics Statement: Employees conduct themselves in accordance with the ethical standards of the organization, including hospital policies, mission, vision, and values.
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