Financial Counselor (Customer Services)

Job Title: Financial Counselor

Location: RWJ - Hamilton

Department Name: Patient Financial Services

Req #: 0000215132

Status: Hourly

Shift: Day

Pay Range: $20.60 - $25.84 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 Summary:

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 and upfront cash collection as needed. Interacts with all patient related hospital departments, patients, families, visitors, nursing personnel and medical staff. Identifies the appropriate payment source, which may include patient payment and/or referrals for enrollment in government programs including Medicaid and Charity Care. Daily tasks include inpatient and observation patient accounts review, authorization and benefit determination, creating estimates and collecting point of service cash when appropriate. If applicable, providing timely and appropriate referrals for various state medical assistance programs.

Job Requirements:

• 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 English/Spanish preferred

Preferred:

• Preferred experience includes insurance verification, cash collections, and obtaining Notices of Admission (NOA), with knowledge of insurance plans.
• Experience with insurance clearance is preferred

Scheduling Requirements:

• Full-time
• Monday through Friday 8a-4p onsite
• Rotating every other weekend (8am-4pm Saturday and Sunday) and rotating holidays required

Essential Functions:

• Take actions that will support maximization of collection of balances due or account resolution from all sources. Meets Quality and Productivity expectations
• 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
• Timely identify, research, and resolution any issues that may cause delays in payment or account resolution. Identify and recommend opportunities to improve collections and follow-up activities
• Work collaboratively across teams, with peers, and revenue cycle departments

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees' physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to:

• Paid Time Off including Vacation, Holidays, and Sick Time
• Retirement Plans
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Disability and Life Insurance
• Paid Parental Leave
• Tuition Reimbursement
• Student Loan Planning Support
• Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Community and Volunteer Opportunities
• Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon
• ....and more!