Please note - Training for this position will take place in La Crosse. Training will be approximately 6 weeks and then you would work in Tomah.
The Financial Counselor provides system-wide support relating to identifying , coordinating and securing all aspects of financial obligations for self-pay patients and patients with balances after insurance has paid. The Financial Counselor's functions including acting as a liaison regarding financial liabilities, liability estimation, collecting payments, pre-registration of certain patient populations, and working closely with patients to identify and apply proper financial assistance. The Financial Counselor will be responsible for performing detailed audits of guarantor accounts to identify and rectify billing issues and problems.
Works extensively with patients to identify potential linkages to alternative coverage options. Identifies and assists with applications to alternative coverage options that may include, but are not limited to, payment plans, health exchange enrollment, MVA coverage, worker's comp, COBRA, Medicaid, community assistance programs, and financial assistance.
Effectively communicates and educates patients on their financial responsibilities by giving estimates on services, taking payments, setting up payment arrangement and negotiating settlements on accounts under direction of supervisor/manager/director.
Explains topics of insurance coverage, treatment costs, and financial assistance opportunities to patients and/or family members. Utilizes Revenue Integrity and available software tools to provide patients with cost estimates.
Ensures patients qualifying for Medicaid coverage are forwarded to appropriate Gundersen Health System vendor for application completion.
Performs complex guarantor account reviews.
Completes pre-registration of certain patient populations, including but not limited to surgeries and procedures.
Assists patients who may be eligible for assistance under the Gundersen Health System Charity Policies and Procedures with completing the application process.
Continually monitors and researches assistance programs to determine if financial counseling and other patient policies should be updated.
Represents Gundersen Health System's high standards for customer service in all telephone and face-to-face communication through courteous, patient and respectful conduct and conversation, while meeting the needs of all customers encountered.
Responsible for maintaining data integrity of self-pay patients and verifying and updating demographics and insurance information (if applicable) accurately and completely.
Keeps skills and education current through periodic in-services on service excellence, charity policies, health exchange enrollment guidelines, registration policies, and other information related to financial counselor role, including all federal and state insurance regulations.
Demonstrates and maintains competency in computer skills related to insurance verification and eligibility.
Adheres to Gundersen Health System's mission statement, employee compact, customer service standards, and all policies and procedures including, but not limited to, confidentiality.
Successful completion of defined core competency testing for financial counselors.
Performs other job-related responsibilities as requested.
|Scope of the Job|
|Age Specific Population Served||Nonage Specific (N/A)
|OSHA Category||Category III - No employees in this job title have a reasonably anticipated risk of occupational exposure to blood and/or other potentially infectious materials.|
|Education and Experience:|
|Required||High School Diploma or equivalency
|Desired||Post High School education in a specialized field:
course work in insurance (HIAA educational series through LOMA) and ART/CRC course. Certified Application Counselor designation.
|Required||1 year work experience , preferably working in a medical facility, insurance company or office setting.|
|Desired||1 year prior financial counseling experience or experience working with patient eligibility and sponsorship.|
|Computer Systems/Software/Applications||use Microsoft Office Products, Adobe and other similar applications|
|Computer Systems/Software/Applications||patient record systems|
|Communication||excellent oral and written communication skills|
|Communication||effectively communicate in technical and lay language|
|Communication||answer telephone inquiries timely and effectively|
|Communication||demonstrate effective customer service to internal and external customers|
|General - All Positions||have professional attitude in regard to motivation, cooperation, flexibility, confidentiality, ethics and personal development|
|General - All Positions||use listening skills to identify important information in oral communication|
|General - All Positions||provide excellent customer service to people both inside and outside the organization|
|General - All Positions||perceive and respond sensitively to the needs of others|
|General - All Positions||work cooperatively with a wide variety of people|
|General - All Positions||the quality improvement process|
|Leadership||problem solve - evaluate, analyze, negotiate and recommend alternatives|
|Leadership||work independently: self-disciplined|
|Reasoning/Decision Making||be professional, honest and have personal integrity|
|License and Certifications|
|Physical Requirements/Demands of the Position|
|Sitting||Frequently (34-66% or 5.5 hours)|
|Static Standing||Frequently (34-66% or 5.5 hours)|
|Walking/Standing||Frequently (34-66% or 5.5 hours)
|Stooping/Bending||Rarely (1-5% or .5 hours)
|Reaching - Shoulder Level||Rarely (1-5% or .5 hours)
|Reaching - Below Shoulder||Frequently (34-66% or 5.5 hours)
|Reaching - Above Shoulder||Rarely (1-5% or .5 hours)
|Repetitive Actions - Pinch Forces||Rarely (1-5% or .5 hours)||Pounds of force: 0-25|
|Repetitive Actions - Grip Forces||Pounds of force:|
|Repetitive Actions - Fine Manipulation||Frequently (34-66% or 5.5 hours)|
|Balance - Right Leg|
|Balance - Left Leg|
|Lifting - Floor to Waist||Number of lbs:|
|Lifting - Waist to Overhead||Number of lbs:|
|Lifting - Other||Number of lbs:|
|Carrying - Long Carry (>50 feet)||Number of lbs:|
|Carrying - Short Carry||Number of lbs:|
|Carrying - Right Carry||Number of lbs:|
|Carrying - Left Carry||Number of lbs:|
|Carrying - Push/Pull (Static Force)||Number of lbs:|
||Number of lbs:|
|Not substantially exposed to adverse environmental conditions (as in typical office or administrative work).
Equal Opportunity Employer