Finance counselor job description

Financial Counselor-Emergency Department - (220002GL) Description
Facility Profile

TGH is the area's only level I trauma center and one of just two ABA-verified adult & pediatric burn centers in Florida. With five medical helicopters*, we transport critically injured or ill patients from 23 surrounding counties to receive the advanced care they need. The hospital is home to one of the busiest solid organ transplant centers in the country. TGH is a nationally designated comprehensive stroke center, and has a 32-bed Neuroscience Intensive Care Unit. Other outstanding centers include cardiovascular, orthopedics, high-risk and normal obstetrics, urology, ENT, endocrinology, and the Children's Medical Center, which features a nine-bed pediatric intensive care unit and pediatric kidney transplant services. As the region's leading safety net hospital, Tampa General is committed to providing area residents with world-class and compassionate health care ranging from the simplest to the most complex medical services.

Tampa General Hospital was named the #1 hospital in Tampa Bay by U.S. News & World Report, 2020-2021, and recognized as one of America's Best Hospital's in five medical specialties: Cardiology & Heart Surgery, Diabetes & Endocrinology, Gastroenterology & GI Surgery, Nephrology, and Orthopedics. Tampa General Hospital has been designated a Magnet Hospital by the American Nurses Credentialing Center (ANCC), the highest recognition for nursing excellence, for the fourth consecutive time - an accomplishment that fewer than one percent of hospitals nationwide have earned. TGH is accredited by The Joint Commission and was awarded disease-specific certification in five medical specialties. TGH is also accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). *Air transport provided by Metro Aviation, Inc.

Job Summary
Under minimal supervision of the Lead Coordinator and Patient Access Manager, follows established organizational policies and procedures. Demonstrates working knowledge of scheduling and registration processes, compliance with Medicare requirements, verification and insurance processes, and collections of patient financial responsibility for all medically stable Emergency Department patients. Completes screening process for HCHCP eligibility, files application for HCHCP, calculates self-pay pricing for discharging ED patients. Responsible for obtaining and verifying demographic, confidential clinical and financial information necessary to accurately and efficiently schedule follow up physician appointments and add-on services. Provides excellent concierge assistance to patients, family members, visitors in person or over the phone. Understands and adheres to all EMTALA, CMS, TJC, and HIPAA requirements when validating the hospital account. Works directly with nurses, medical staff, ancillary departments, insurance carriers, care management/utilization, HIM, and other external professionals to assist patients with obtaining health care and financial assistance services. Responsible for performing job duties in accordance with the mission, vision and values of Tampa General Hospital.

Qualifications Required Skills

Requires a level of knowledge equivalent to that ordinarily acquired through the completion of High School Diploma or GED.
Associate Degree in Business preferred and completion of the CHAA exam is a plus.
3+ years' experience in Registration, Scheduling, and/or Collections and Billing.

Primary Location: TampaWork Locations: TGH Corporate Center 606 w. Kennedy Blvd. Tampa 33606Job: Patient Financial ServicesOrganization: TGH - HospitalSchedule: Full-time Shift: Day JobShift Hours: 6am-4:30pmJob Posting: Aug 10, 2022, 2:53:04 AM

Chubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

The North America Legal and Compliance Counsel, Financial Lines is responsible for supporting the Financial Lines underwriting business in North America with the primary responsibility of advising business clients on management and/or professional liability policies and coverage.

* Communicate effectively with business partners, underwriting, claims professionals and Legal and Compliance colleagues to provide clear guidance on coverage developments, industry trends and new exposures in management and/or professional liability.

* Develop, draft, review and revise new and existing financial lines insurance products, as well as endorsements, contracts, warranties, marketing materials and other ancillary documents associated with such policies.

* Review and interpret applicable federal and state laws and regulations, legislative developments, case decisions and claims verdicts pertaining to financial lines in order to provide comprehensive legal advice.

* Collaborate with management, underwriting, brokers and policyholders to negotiate coverage terms and conditions.
Qualifications

* Law degree with at least 1-3 years of experience working in insurance law and specialty insurance (management liability, professional liability and/or financial institutions).
* Experience in policy and endorsement drafting is a plus.
* Demonstrated ability to understand the insurance industry, client needs, and business goals and provide sound consultation and achieve desired results.
* Have strong interpersonal and communication skills and the ability to effectively interact with a broad spectrum of constituencies.
* Have a proven track record of results achievement, collaboration, teamwork, problem solving, and negotiation skills.

Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran or marital status, or any other characteristic protected by law.

EEO Statement

At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion,and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin,ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law.Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliationagainst any individual who reports discrimination or harassment.

US-OR-Portland

Type: Regular Full-Time
NE Davis Building

Overview

At Legacy, we understand that making life better for others involves compassion in all of our interactions. Guiding patients toward important financial decisions while being sensitive to difficult or stressful circumstances is an important aspect of the care we provide. If you share this commitment and you'd like to grow with our patient-focused healthcare system, we'd like to talk to you.

The financial counselor assists patients and their families often in difficult times, providing financial, insurance and payment options to resolve patient balances. In addition, the financial counselor helps patients applying for various financial programs such as Oregon Health Plan, Medicaid, Crime Victims and Charity Care, and provides cost estimates upon request.

Responsibilities

Provides Customer Service

Effectively communicates directly with patients, families, physicians, payors, attorneys, Clinical Resource Coordinators, Utilization Review Coordinators, and toerh providers while inhouse (patient), in person, by phone, or written correspondence. Maintains positive communication and presentation skills with patients/customers of diverse ethnic cultural backgrounds and sensitive financial situations. If unable to contact patient while inhouse, contacts patient after discharge to discuss financial arrangements.

Ensures all accounts for patient are discussed with patient at time of contact.

Reviews patient account to determine if balance billed for is correct.

Accurately communicates account status and pending action to customers.

Coordinates patient account affects of pre-authorizations, second opinions, insurance benefit limitations, high dollar deductibles/copays with patients and families while maintaining positive personal relations. Assists patients in determining eligibility for Cobra assistance.

Determines if patient meets OHP eligibility criteria; may meet directly with patient or family member to complete OHP form and enroll patient in OHP. Also assists patients with other available financial resources such as Crime Victims, Medicaid in other states, Family Health Insurance Assistance Program (FHIAP) and Charity Care.

Sets Payment Arrangements

Understands and communicates Legacy payment policy to patients, guarantors and other appropriate individuals.

Calculates payment options per Legacy policy, abiding by laws governing payment plans and payment contracts.

Documents all options discussed and payment plan established.

Monitors payment plans after they have been established.

Rebills, transfers payments, requests refunds or adjusts misapplied payments as necessary.

Reviews pre-admit accounts to determine if an account is truly self-pay, determines medical necessity, then contacts patient/guarantor regarding, deposits, payment arrangements or OHP.

Performs Account Service

Sets deadlines for future action on accounts; action taken includes but is not limited to scheduling follow-up, making adjustments, placing phone calls, turning accounts collections, checking for insurance coverage as necessary, and making payment arrangements.

Understands and follows Legacy procedures for writing off small balance accounts.

Request refunds when appropriate

Determines when an audit is necessary.

Understands and abides by laws governing customer Bankruptcy filings.

Understands and abides by Legacy policy relating to accounts of deceased patients and laws governing account responsibility.

May interview customers and assist as appropriate in obtaining needed demographic, insurance, health and financial information and completed/signed forms required for services and confirmation of payment source.

Obtains pre-admission deposits.

May verify insurance coverage, reviewing and validating registration, additional insurance, and provider information.

Transfers appropriate accounts to hospital attorney

Follows up on requests from attorney for billings, obtaining lien satisfactions, medical records or itemized statements.

Provides advice to attorney on settlement questions.

Maintains a working knowledge pertaining to Insurance Issues, which includes but is not limited to Motor Vehicles, Workman's Comp, Medicare, OHP/Washington Welfare/Medicaid Blue Cross and Commercial payors.

Participates in Oregon Health Plan (OHP) training classes.

Qualifications

Education:

High school graduate or equivalent

Experience:

Two years of directly applicable healthcare business office experience and/or applicable self pay collection experience

Skills:

Demonstrated negotiating, problem-solving and decision-making skills.

Demonstrated understanding of complex collection issues inherent in high dollar/specialty accounts.

Demonstrated knowledge of multi-payor systems.

Demonstrated knowledge of billing/collection rules and regulations.

Knowledge of online eligibility systems and status review of claims.

Net Typing of 40 wpm and PC based computer skills.

10 key proficiency.

Knowledge of medical terminology.

Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines.

Demonstrated effective interpersonal skills that promote teamwork and cooperation.

Ability to withstand varying job pressures, organize/prioritize related job tasks and demonstrate excellent attention to detail.

Excellent public relations skills and demonstrated ability to communicate in calm, businesslike manner.

Ability to multitask, learn new skills, and adapt to change.

Ability to work in a fast-paced environment independently or as part of a team

Legacy's Values in Action:

Follows guidelines set forth in Legacy's Values in Action

Equal Opportunity Employer/Vet/Disabled

PI193359026