FINANCIAL COUNSELOR
UHS
Summary
The Financial Counselor promotes positive customer relationships by providing accurate and timely financial information to current patients and provides general support to the business office post-discharge. The Financial Counselor is the liaison between patients and their insurance companies; often coordinating payments and answering questions from both parties. Coordinates with the facility Business Office, the corporate Central Business Office, Intake/Admissions Department, Utilization Review, and Clinical Team Members.
Job description
Summary Statement & Purpose
The Financial Counselor promotes positive customer relationships by providing accurate and timely financial information to current patients and provides general support to the business office post-discharge. The Financial Counselor is the liaison between patients and their insurance companies; often coordinating payments and answering questions from both parties. Coordinates with the facility Business Office, the corporate Central Business Office, Intake/Admissions Department, Utilization Review, and Clinical Team Members.
Specific Performance Responsibilities
- Verify information obtained during the intake/admission process regarding demographic data, insurance eligibility, and insurance benefit information; coordinating the process of patient eligibility (VOB) through various third-party sources including coordination with families and primary supports as needed.
- Assist patients with Medicaid enrollment (either on paper or online), charity applications and/or Financial Attestations, ensuring compliance with required patient signatures on appropriate financial documents prior to discharge.
- Perform upfront collection activities on all expected inpatient out of pocket costs, including providing reasonable out of pocket estimates, properly handling and recording all monies collected and setting up arrangements/monthly installment plans for patients to payoff balances within the guidelines of INBH collections policy.
- Monitor daily and report when Medicaid benefits are posted for patients enrolled at the facility and coordinate with UM Director in each case to seek guidance on whether to obtain retro-authorization.
- Analyze private self-pay accounts to ensure they are netted down based on contract rates and other miscellaneous adjustments.
- Make collection calls on all private/self-pay accounts collecting all monies due from patients and/or patient designees, properly handling and recording all monies collected and setting up arrangements/monthly installment plans for patients to payoff balances within the guidelines of INBH collections policy.
- Provide back-up support for other business officer positions as needed and as defined by the Director.
Requirements
- High school diploma or GED required
- Associate's degree preferred
- Two years of related customer service experience required
- Experience in a healthcare environment preferred
- Knowledge of accounts receivable collection techniques
- Knowledge of patient financial transactions, Medicare, Medicaid, HMOs and Private Health Insurance contracts
- Sensitive to patient needs and aware of confidentiality importance
- Advanced knowledge of Excel preferred
Company overview
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.