Financial Counselor - Tulane
Tulane Medical Center - New Orleans, LA

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Reviews alpha census daily and visits in-house patients; collects estimated patient liable amounts; works closely with outside agencies to ensure patient coverage.
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
  • Visit all self-paying patients in-house
  • Provide estimates to patients and/or physicians as requested
  • Generate insurance verification and precertification reports daily and follow up with case management and insurance verification departments as appropriate
  • Post ER and Patient Access deposits into PA system
  • Contact insurance companies for patient benefits and precertification requirements
  • Review alpha census daily for visits exceeding the original length of precertification and work closely with utilization review for concurrent certification
  • Assist patients with payment arrangements and charity applications
  • Work closely with outside agencies in helping patients apply for Medicaid and state aid
  • Maintain insurance files regarding updates and changes
  • Forward problems or concerns to Patient Access Manager
  • Enter pertinent insurance information into CPCS and prorate account
  • Enter notes into the collections system for all patient encounters
  • Maintain professional image and implement excellent customer service to customers
  • Complete financial analysis and collect estimated patient liabilities
  • Follow up with patients for necessary signatures if they were incomplete at time of hospitalization
  • Consistently receive and receipt payments from patients for hospital services in accordance with internal cash control procedures
  • Interact with Patient Account Services Insurance Verification Department in establishing up-front payment arrangements with patients
  • Attends in-service presentations, and completes mandatory education week, including but not limited to, infection control, patient safety, quality improvements, MSDS and OSHA standards.
  • Demonstrates knowledge of occurrence reporting system and utilizes system to report potential patient safety issues.
  • Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
  • Other duties as assigned

Qualifications
EXPERIENCE
At least one year of collections experience required
Relevant education may substitute experience requirement

HCA Inc - 21 months ago - save job - copy to clipboard
About this company
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Tulane Medical Center, an acclaimed teaching, research and medical facility serving the greater New Orleans area, began in 1834 as a small,...