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Patient Financial Counselor

Nebraska Medicine Omaha, NE
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Job Description

Provide customer service by screening accounts and taking referrals, identifying patient financial needs, assessing needs through patient interview, formulation of a strategy, and assisting the patient as needed to complete all necessary requirements to enable the patient to meet their financial obligation to the organization. Verify insurance eligibility and benefit information, collect co-payments, obtain prior authorizations and facilitate identification of available coverage and/or financial application process. Provide support for organizational research through completion of proactive payer medical review determination. Complete applications for coverage through Medicaid, Marketplace and/or disability, monitor status, and assist patients with scheduling of hearings or other items as required. Complete cost estimates and follow guidelines associated with pre-payment process. Face to face and bedside patient contact required.

Minimum Required

  • Minimum of three years healthcare and/or insurance/third party reimbursement experience required.
  • Excellent interpersonal skills and the ability to successfully interact with a variety of internal and external customers at all levels required.
     
  • Analytical and financial assessment abilities to maintain close attention to a variety of details in order to perform duties effectively required.
     
  • Ability to solve problems independently and must be strongly vested in team management required. Multi-task oriented and able to function in a constantly changing environment required.
     
  • Organizational and time management skills in order to maintain and prioritize daily work and follow-up on accounts in a timely manner required.
     
  • Experience with various computer mainframe, network, web based and payer applications required.
     
Preferred / Desired
  • Experience in healthcare collections, registration or customer service preferred.
     
  • Prior experience in retail pharmacy based on position (e.g., pharmacy Financial Counselor) preferred.
     
  • Associates degree in business, healthcare or related field preferred.
     
  • Experience in health care revenue cycle functions to include insurance or registration preferred.
     
  • Experience with Microsoft Office products, specifically Word and Excel preferred.
     
  • Previous experience with Epic Revenue Cycle modules preferred. Bi-lingual preferred.
     
  • Knowledge of governmental reimbursement rules and regulations preferred.
     
  • Knowledge of Ambulatory Payment Classifications (APC), Diagnosis Related Group (DRG) and Fee-For-Service (FFS) reimbursement methodologies preferred.
     
  • Knowledge of 3rd party payer edits preferred. Certification through hospital or professional revenue cycle organization preferred.
     
  • Membership in hospital or professional revenue cycle organization preferred. 
 

















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