The Financial Counselor performs quality assurance for in-house and post discharged accounts by assisting the uninsured and underinsured patients, or the responsible party, in establishing a financial resource for their healthcare needs.
Financial Counselors assist patients in applying for governmental and/or state programs. They are also responsible in assisting individuals with pre-service cost estimates, support in resolving insurance issues, and continuously monitoring various worklists for appropriate follow-up.
Contributes to the team orientation of the Patient Accounts area and, as such, is responsible for proper communication with all department members. Contributes to the team orientation of MMC and, as such, is responsible for proper communication between Patient Accounts, and all other departments.
Handles questions from patients or interested persons concerning insurance, credit, or other problems relating to the hospital. Responsible for data accuracy and input on the financial system. Provide cost estimates for patients anticipating hospitalization for MMC outpatient services, or regular admissions.
Interviews in person or by phone, patients and relatives requesting credit arrangements. Counsels patients on payment options. Helps patients obtain financial assistance through appropriate state or federal agencies.
Obtains and reviews pre-admission information on scheduled outpatients and inpatients. Resolves problems regarding insurance, lack of information, and provide financial advice as required. Accepts deposits, issues receipts, and makes payment arrangements on any unpaid balances. Verifies insurance benefits on problem accounts for all third-party payors.
Follows-up with insurance companies by telephone and letter to obtain payment. Dictates and sends collection letters as required. Handles problem patient correspondence. Makes collection telephone calls. Handles incoming collection calls. Will collect when appropriate. Interviews prospective charity recipients, disseminates applications, and determines eligibility. Follow-up with the Department of Social Services and patients for documentation needed to complete applications.