Financial Counselor at RWJBarnabas Health – West Orange, New Jersey

Job Title: Financial Counselor

Location: SBC Corporation

Department Name: Patient Financial Services

Req #: 0000238646

Status: Hourly

Shift: Day

Pay Range: $22.50 - $30.28 per hour

Pay Transparency:

The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Function

The Financial Counselor ensures that coverage is financially cleared for all emergency inpatient and observation services by the review of insurance eligibility and benefits,

The counselor is also responsible for creating estimates, Screens the patient for Eligibility programs and upfront cash collection as needed,

Job Qualifications/Education

High School Diploma or GED equivalent required within one (1) year of hire,

Candidates who do not possess a High School Diploma or GED equivalent will be provided the opportunity to enroll in a GED/HSEA program at time of hire as a condition of employment,

A hired candidate will be provided one (1) year from date of hire to successfully complete a GED program and obtain their HSEA,

RWJBarnabas Health is committed to our communities and the members we serve,

RWJBH understands that in order to create strong, healthy, and sustainable communities, we have to re-engineer and transform current systems,

Providing educational support and resources contributes to our overall social impact mission and community investment efforts,

4 years similar hospital billing or accounting experience

Knowledge of Charity Care,

Uncompensated Care, and Medicaid guidelines and regulations

Knowledge of medical terminology and insurance verification preferred

Candidate must be detail-oriented

Computer experience required

A minimum of three years insurance authorization/pre-certification experience required,

Knowledge of insurance, insurance verification and TOS collections

Prior experience in hospital admissions preferred,

Ability to communicate effectively,

Bilingual preferred

Job-Specific Requirements of Position

Identifies the appropriate payment source, which may include patient payment and/or referrals for enrollment in government programs including Medicaid and Charity Care,

Verifies patients insurance eligibility and benefits to facilitate timely care

Works collaboratively with social workers and case managements to securing funding sources for necessary discharge planning

Screens patients for programs and submits applications timely for review/approval

Assess patients financial situations and insurance coverage

Assists patients in understanding their financial responsibilities and out-of-pocket costs

Assists patients in understanding their healthcare options and navigating the complexities of the healthcare system

Acts as a patient advocate, ensuring that their needs and preferences are met

Address and resolve concerns related to billing, service access and healthcare quality

Educate patients about their rights and available resources

Ensure timely account updates to approved funding sources including charity care, Medicaid and or identified commercial coverage

Creates estimates and collects point of service cash when appropriate,

If applicable, providing timely and appropriate screening for various state medical assistance programs,

Take actions that will support maximization of collection of balances due or account resolution from all sources,

Meets Quality and Productivity expectations

Timely identify, research, and resolve any issues that may cause delays in payment or account resolution,

Identify and recommend opportunities to improve collections and follow-up activities

Facilitate account resolution,

Accurately identify, follow-up on, or correct billing errors, lower than expected reimbursement, or denials for correction for submission or resubmission to patients and/or insurance carriers,

Accurately perform actions on accounts that will result in the least amount of time and effort to bring an account to resolution based on job specific priority matrix

Work collaboratively across teams, with peers, and revenue cycle departments