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Our patients are our number one priority! We're committed to giving children back their childhood!

Job Posting Title:

Financial Counselor

Location:

Dallas - Hospital

Additional Posting Details:

Monday - Friday 8am to 4:30pm

*Can offer flexible work schedule (4 10hr day shifts)

Job Description:

Duties/Responsibilities

+ Accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include but not limited to pre-admission, admission, pre-registration and registration functions.

+ Manage all incoming inquiries regarding charity care, insurance coverage benefits, billing disputes, prior authorizations, itemized statements, patient complaints, outpatient and surgical estimates, coordination of single case agreements, payment plans, and any other patient family request.

+ Accurately process charity adjustments based on Crayon Care enrollment status; which includes identifying the greater discount between the Amount Generally Billed (AGB) and the charity discount.

+ Responsible for adding pharmacy coverage into EMR.

+ Provide Crayon Care applications to any patient family who is scheduled for an MRI, CT, surgery, admission, infusion, orthotics/prosthetics, Therapy Services and any other department as seen fit.

+ Screens self-pay patients for Medicaid eligibility and submits Medicaid and/or CHIP referrals on behalf of the patient.

+ Accurately process Crayon Care applications based on hospital charity policy.

+ Send appropriate correspondence letters to patient families (approvals and denials).

+ Add insurance coverage and update the billing system to reflect the insurance status of the patient.

+ Serves as the Liaison between patient family and insurance verification team to ensure that prior authorizations are obtained based on insurance plan contracts and guidelines.

+ Assist with insurance claim rejections/denials and remedy expediently.

+ Calculate and post cash, credit, and check payments appropriately for all patients.

+ Gather necessary documentation to support proper handling of inquiries and complaints.

+ Assist with departmental coverage as requested.

Required Skills/Abilities

+ High school diploma required

+ Bachelor degree preferred

+ Strong analytical skills preferred

+ Two to five years’ experience working in hospital patient access and/or billing, physician office billing and collections, or an equivalent combination of relevant education and/or experience

Working Environment

+ Working conditions: Inside

+ Working Position: Sitting,

+ Physical Demands: Light

+ Physical Requirements: Repetitive Movement

+ An Individual in this position will be required to list or carry weight in this group: Up to 11-24lbs

+ Sensory/Communicative activities essential to the performance of this position: Feeling, Hearing, Seeing, Speaking

+ An Individual in this position will be exposed to: Inside environment

At Scottish Rite for Children, we work together with the common goal of helping give children back their childhood. Scottish Rite is a unique place to work because we believe in a collaborative approach, utilizing the care and expertise from all departments. We are always looking for caring, energetic individuals to join our team. We currently have locations in Dallas and Frisco and is an equal opportunity employer.

For questions, contact [email protected].