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Financial Counseling Specialist

Company: University of Arkansas for Medical Sciences
Location: Little Rock
Posted on: June 14, 2019

Job Description:

Requisition ID 2019-60293 Category Administrative Position Type Regular Full-Time Department ICE CORE IRC Off of Financial Clearance Post End Date 6/29/2019 Overview The Financial Counseling Specialist works with patients who have scheduled specific clinical services to promote financial clearance prior to the day of care. S/He contacts payers and providers to secure authorizations as needed; and provides information regarding hospital payment requirements, alternative financing and charity care programs during pre-service; and relays relevant financial information in a clear and patient-friendly manner per UAMS' customer service and price transparency initiatives. The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving the health, health care, and well-being of Arkansans. UAMS offers amazing benefits and perks: * Health: Medical, Dental and Vision plans available for staff and family * Holiday, Vacation and Sick Leave * Education discount for staff and dependents (undergraduate only) * Retirement: Up to 10% matched contribution from UAMS * Basic Life Insurance up to $50,000 * Career Training and Educational Opportunities * Merchant Discounts * Concierge prescription delivery on the main campus when using UAMS pharmacy Salary offered commensurate with experience. Responsibilities * Meets with all self-pay and under insured and patients to explain benefits, financial obligation, payment options and assistance programs. * Assures that a payment methodology is in place prior to discharge. * Screens scheduled non-urgent self-pay and under insured surgical and diagnostic study patients (in and outpatient) prior to service, collects payment prior to service and assures plan for financial coverage is in place before service is performed. * Processes a deposit and establish a payment plan for large out of pocket obligations. * Screens referred clinic patients prior to service, collect minimum payment prior to visit and assure plan for financial coverage is in place before clinic visit. * Screens all patients for eligibility for Social Security, COBRA, Crime Victims, Health Insurance Marketplace, Medicaid and other programs when appropriate. * Assures that lifetime reserve letter signatures are obtained as needed. * Screens all patients applying or deemed eligible for the Financial Assistance Plan for any additional programs they may be eligible for to assure the hospital discount is the second option in place. * Processes applications for charity discounts (this involves review of patient financial information, determination that all required information is received and determines eligibility for the program). * Assists with financial screening and program explanation in the Emergency Department when requested. * Discuss alternative payment options with patients who present as self-pay but are deemed ineligible for assistance programs and also with patients having a high deductible or a limited benefit plan. * Verifies patients' insurance benefits and information, as well as obtains pre-authorizations from third-party payers in accordance with payer requirements. * Identifies patients who may need Medicare Advance Beneficiary Notices of Non-coverage (ABNs). * Provides patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services. * Sends price estimates to patients before their day of care and/or expected delivery date, but not so far in advance that benefits could change. * Establishes payment plan arrangements for patients per established UAMS policy; clearly communicates due dates and the amount of each installment. * Collects payment plan installments, out-of-pocket costs, outstanding previous balances, and any other applicable amount from patients who appear to have the ability to pay. * Informs patients of any convenient payment options (e.g., portal, mobile app). * Documents all payer communications and pre-service patient financial conversations, including payer decisions, collection attempts, and payment plan arrangements. * Connects with self-pay patients to explore assistance options; may work with financial counseling or the business office. * Obtains the information necessary to initiate and/or complete the procedures for filing Medicaid applications and/or other public assistance programs. * Discusses financial arrangements for newborn(s); informs patients of the time frame for enrolling a newborn in coverage, provides any documentation or guidance for the patient to enroll their child prior to or after the anticipated delivery date, and communicates appropriate information to registration staff as needed. * Works effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. * Complies with safety principles, laws, regulations and standards associated with, but not limited to CMS, Joint Commission, EMTALA and OSHA. * Demonstrates a high level of integrity and innovative thinking and actively contributes to the success of the organization. * Demonstrates positive working relationships with co-workers, management team and ancillary departments. * Adheres to UAMS and Patient Access related policies and procedures. * Adheres to UAMS confidentiality and HIPPA policies. Successfully complete DHS Curam Clerical-Intake Training. * Successfully complete annual Certified Application Counselor Training. * May perform other duties as assigned. Qualifications Minimum Qualifications: * Bachelor's degree in finance, business or related PLUS two (2) years of experience in healthcare revenue cycle or revenue cycle related function OR High School Diploma/GED PLUS 6 years of experience in healthcare in a revenue cycle related function * Must be competent in medical terminology within 3 months of hire * Basic proficiency with computers (preferably Microsoft Office Suite (Word, Excel, Outlook and PowerPoint) Preferred Qualifications: * CHAA Certification * Familiarity with statues and regulations that can impact financial conversations with patients (e.g., ACA) * Knowledge in basic medical terminology Competencies: * Ability to communicate (verbally and in writing) with others effectively * Excellent problem solving skills, critical thinking skills, and ability to multi-task * Excellent customer relations skills * Ability to apply mathematical concepts and sound reasoning when necessary This position is subject to a pre-employment criminal background check. A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. UAMS is an Affirmative Action and Equal Opportunity Employer of individuals with disabilities and protected veterans and is committed to excellence. #CB Physical Requirements Stand: Occasionally Sit: Frequently Walk: Occasionally Bend, crawl, crouch, kneel, stoop, or reach overhead: Occasionally Lift, push, pull, carry weight: 10 lbs or less Use hands to touch, handle, or feel: Never Talk: Continuously Hear: Continuously Taste or smell: Never Read, concentrate, think analytically: Continuously Physical Environment: Inside Medical Facility Environment, Inside Office Environment Noise Level: Moderate Visual Requirements: Color discrimination, Depth perception, Far visual acuity, Near visual acuity Hazards: None Options

Keywords: University of Arkansas for Medical Sciences, Little Rock , Financial Counseling Specialist, Other , Little Rock, Arkansas

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