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Financial Counselor

Company: Iowa Orthopaedic Center PC
Location: Des Moines
Posted on: June 24, 2022

Job Description:

SUMMARY
This position is a Full Time combination of an Insurance Specialist and Patient Accounts Receivables Representative. As the face of our finance department, this role helps Iowa Ortho remain financially stable and assists patients in finding ways to ensure timely payment for services. This role is involved in performing various routine collection and clerical functions by working with patients, family members, and visitors to ensure good internal and public relations. This position will be able to work from home full time after successfully completing the training period.

This position has a hiring range is based on years of relative experience: $15.88-$17.46

***$1,000 sign on bonus!!***

ESSENTIAL DUTIES AND RESPONSIBILITIES

Receive and process incoming calls regarding self pay and liability accounts as well as collection accounts
Outgoing pre-collect calls to scheduled ASC patients for review of patient financial responsibility based on the estimated codes and charges for the scheduled event and patient education on this if needed
Assist Nurse or front desk in pre-registration when needed
Coordinate with Insurance Specialist on verifying insurance eligibility has run and input for the schedule date being worked
Coordinate with coder and nurse on Estimated procedure and procedure charge
Obtain accurate insurance information on hospital liability patients and enter information into the computer, verify information with the insurance company and to confirm whether this is a third party payer. Enter information in the patient's accounts and file any charges on hold
Investigate refund requests
Register or update demographic information in the patient's account when informed a patient is deceased
Verify accuracy and detail of Bankruptcy notices including adjustment of any charges under the Bankruptcy time frame
Follow Iowa Ortho procedure to close out patient accounts of deceased patients including submission of claim to Probate court if required
Obtain surgery fee quotes and collect fees in advance for self pay surgeries
Prepare financial agreements for old balance accounts or self pay patients who have been seen prior to knowing they were not insured
Contact patients regarding delinquent accounts and arrange mutually acceptable payment schedules
Monitor payments to be sure that payers conform to agreed schedules
Follow up on insurance billing to ensure timely receipt of payments. (liability accounts)
Compile delinquent accounts and forward to physician for direction (collection agency, write off) of account
Notify Billing Manager or Director of Operations of problem accounts or patients that require special attention or handling.
Work closely with several departments to ensure correct account information as well as relaying correct and helpful information to the patient or their guardian
Provide timely and accurate information to front desk, surgery, and outpatient testing departments to ensure timely scheduling and treatment of patients
Prepare Charge Estimate for scheduled events on Self-Pay patient accounts
May obtain Authorizations/ Pre-certifications for scheduled procedures or assist nurse / surgery scheduling staff with obtaining authorizations / pre-certifications
Assist with other tasks as directed
Must be able to regularly attend work.

EDUCATION AND EXPERIENCE

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge and experience required.
High school diploma
One year experience in collections required
Previous experien ce in dealing with members of the public
Insurance background is preferred
Medical Terminology or Coding Terminology knowledge is a bonus

KNOWLEDGE, SKILLS, AND ABILITIES

Excellent communication skills
Demonstrate knowledge of state and federal collection laws
Demonstrate a special ability to deal with patients regarding sensitive financial matters and recapture unpaid balances
Know or learn how to read and interpret a payer remit
Know or learn how to balance a patient account
Basic computer skills; Microsoft Office Suite (Excel, Outlook, Word, etc.)

WORKING CONDITION AND CRITICAL PHYSICAL DEMANDS

The physical demands describe here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to talk clearly and give instructions to patients prior to treatment and after receiving medical treatment in the payment of their accounts
Hear and receive instructions regarding the requirements of collecting from patients on accounts
Fingering skills to work at computer terminal for at least eight (8) hours a day. The ability to sit for at least eight (8) hours a day
Use of hands, fingers, and sense of feeling in order to keyboard at computer terminal
Visual abilities in order to work at a computer terminal
Ability to read, write, speak, and hear the English language without interpretation

PI182152265



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Keywords: Iowa Orthopaedic Center PC, Des Moines , Financial Counselor, Accounting, Auditing , Des Moines, Iowa

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