Financial Counselor - Healthcare jobs in Rhode Island

Financial Counselor - Healthcare develops and facilitates payment plans for patients to finance medical expenses by coordinating between insurer, third party payer and patient. Confirms level, terms of coverage, and benefit limits with health insurance providers. Being a Financial Counselor - Healthcare advises patients of any alternative sources of funding or assistance available from social service agencies. Prepares and files any documentation needed to complete payment arrangements. Additionally, Financial Counselor - Healthcare may arrange for referrals or second opinions. Has general knowledge of insurance terms and practices. Requires a high school diploma. Typically reports to a supervisor or manager. The Financial Counselor - Healthcare works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Financial Counselor - Healthcare typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Financial Counselor
  • The Miriam Hospital
  • Providence, RI PART_TIME
  • Summary:
    Under the general supervision of the Manager Patient Registration the Financial Counselor functions as a liaison between the hospital and patients to facilitate the solution of patient financial issues concerning outpatient and inpatient pre-admission pre-registration pre-scheduled scheduled inpatient/observation direct and emergent admissions.

    Responsibilities:
    Pre-admits/registers scheduled outpatients and inpatients in hospital system.

    Contacts insured patients to verify demographics obtained at the time of scheduling to complete any missing information.

    Verifies patient insurance coverage (both primary and secondary) online or by telephone.

    Obtains and verifies coverage authorizations for scheduled and unscheduled patients to include all sources such as Workers Compensation Medicare Secondary Payer (MSP) Medicare liability liens etc.

    Ensures referrals are obtained and confirms accuracy of the Primary Care Physician (PCP).

    Establishes level of insurance benefits and expected payment for selected services. Determines the patients portion of payment when applicable and arranges for payment prior to the provision of services.

    Upon arrival or admission or in the patients room completes any missing documentation required from patients and/or family members.

    Checks outstanding balances incurred for previous services prior to contacting patient and follows collection policy concerning prepayment prior to the provision of additional services.

    Monitors in-house accounts for open patient balances resulting from co-payments and deductibles. Tracks Medicare Days and Lifetime Reserve Days when applicable.

    Authorizes occupancy and collects payments for Private Room Differentials. Reviews bed transfer list daily to ensure the authorization and collection of all appropriate private room transfers.

    When appropriate medical necessity verifications for services to be provided will be performed by the servicing department and will also require that Advance Beneficiary Notices (ABNs) be addressed for payment at the time of admission/arrival.

    Refers insured patients who cannot meet their financial obligations including previously incurred hospital balances current admission/outpatient expected non-covered charges and ABNs to Patient Advocates according to department policy.

    Updates status of financial clearance activities in hospital system.

    Prepares/assembles all necessary paperwork prior to the patients arrival.

    Reviews/corrects third party payer eligibility reports.

    Completes real time status transfers.

    Performs other duties as required to support the operations of the department.

    May be required as needed to provide coverage at numerous locations (hospital-based): Admitting ED and Outpatient areas as well as off-site registration areas and Business Office.

    Attends and participates in staff meetings.

    Other information:
    BASIC KNOWLEDGE:
    A level of knowledge generally obtained through completion of High School.

    Knowledge of medical terminology third party insurance information and standard computer applications required. Good verbal and written communication skills.

    Computer skills that permit and facilitate the performance of work responsibilities.

    Demonstrated knowledge and skills necessary to provide care patients with consideration of aging processes human development stages and cultural patterns in each step of the care process.

    EXPERIENCE:
    Two years in a hospital environment with previous experience in third party payer verification and authorization process requirements and an understanding of payer contracts. Training in HIPAA rules and regulations.

    WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:
    Office environment with some exposure to the normal patient care environment as some patient interviews are conducted with patient and family members on the nursing units. Sitting for long periods of time at a workstation requiring continuous use of a computer and telephone.

    INDEPENDENT ACTION:
    Performs independently within the departments policies and practices. Refers specific complex problems to the supervisor when clarification of departmental policies and procedures are required.

    SUPERVISORY RESPONSIBILITY:
    None.

    Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.

    Location: The Miriam Hospital USA: RI: Providence

    Work Type: Part Time

    Shift: Shift 1

    Union: Non-Union
  • 3 Days Ago

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Substance Use Disorder Counselor
  • GreenTree Healthcare Management
  • Providence, RI FULL_TIME
  • Berkshire Place Nursing is actively seeking an SUD Counselor (Substance Use Disorder) for our Skilled Nursing facility in Providence, RI. We offer the following benefits so you can excel at work and i...
  • Just Posted

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EAP Licensed Behavioral Health Counselor
  • Essential Healthcare Solutions LLC
  • North, RI CONTRACTOR
  • EAP Licensed Behavioral Health Counselors for the following zip codes in Rhode Island: 02852, 02841-1629 Essential HealthCare Solutions LLC is responding to a contract opportunity. We are seeking beha...
  • 8 Days Ago

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Financial Planner - Wealth Advisor
  • Baystate Financial
  • Providence, RI FULL_TIME
  • Your Career Path – Why Baystate Financial?Today’s complex industry calls for a wide range of specialized skills that few financial professionals can command on their own. At Baystate Financial, we tre...
  • 1 Month Ago

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Healthcare Recruiter
  • Maxim Healthcare Staffing
  • Providence, RI FULL_TIME
  • HEALTHCARE RECRUITER Why Maxim? When you work at Maxim,you’re part of one of the largest and oldest healthcare staffing companies inthe nation. We believe our employees are our greatest asset. It is b...
  • 15 Days Ago

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Counselor
  • ADAMS AND ASSOCIATES INC
  • Exeter, RI OTHER
  • Job Details Job Location: Exeter - Exeter, RI Position Type: Full Time Education Level: 4 Year Degree Salary Range: $40,000.00 - $40,000.00 Salary/year Job Category: Education DescriptionDo you have a...
  • 23 Days Ago

Rhode Island (/ˌroʊd -/ (listen)), officially the State of Rhode Island and Providence Plantations, is a state in the New England region of the United States. It is the smallest state in area, the seventh least populous, the second most densely populated, and it has the longest official name of any state. Rhode Island is bordered by Connecticut to the west, Massachusetts to the north and east, and the Atlantic Ocean to the south via Rhode Island Sound and Block Island Sound. It also shares a small maritime border with New York. Providence is the state capital and most populous city in Rhode Is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Financial Counselor - Healthcare jobs
$40,928 to $51,127

Financial Counselor - Healthcare in Providence, RI
In case the insurance of the patient covers the cost, a financial counselor works with the needed papers and documents and make sure that everything is in order.
January 11, 2020
Financial Counselor - Healthcare in Tucson, AZ
Financial counselors usually work in the front office location of hospitals, where they sit on their desks and use computers in facilitating their jobs.
January 26, 2020
Financial Counselor - Healthcare in Vincennes, IN
However, there are instances that financial counselors work at night or even during weekends.
December 03, 2019