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Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Saint Michael's Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Established by the Franciscan Sisters of the Poor in 1867, Saint Michael's Medical Center is a 358-bed regional tertiary-care, teaching, and research center in the heart of Newark's business and educational district and is accredited by The Joint Commission. Combining state-of-the-art technology, the latest diagnostic and therapeutic procedures, leading-edge research, and a network of highly qualified physicians, nurses, and allied health professionals, the hospital provides top-quality health care services delivered with compassionate care.

The first medical institution in New Jersey to perform open-heart surgery, and the first to develop a cardiac catheterization program, Saint Michael's Medical Center is home to the Heart and Vascular Institute, which offers a comprehensive array of innovative cardiac treatments and procedures. Learn more atwww.smmcnj.com.

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf

Responsibilities

The financial counselor Specialist is responsible for determining patient liability based on benefits and advises patient of their liability prior to scheduled elective procedures. Verifies insurance eligibility, and benefits for emergent and urgent admissions procedures or other services ensuring communication of patient responsibility to the patient or responsible party. Verifies and secures accurate patient demographic and insurance information, updating patient account information as needed. Assists patients in making arrangement as needed for patient responsibility by time of discharges for emergent or urgent services. Pre-reg and making sure that all patients are financially cleared at least three days before the procedure. Maintains effective communication skills, including verbal, written and telephone.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

1. The financial counselor Specialist is responsible for scheduling of hospital services assigned, preregistration, insurance verification, referral coordination, pre-certification clearance. Assuring appropriate authorization is in place prior to services being rendered.

2. Routinely schedules outpatient testing for all patients where services occur as a scheduled appointment. Answers phone efficiently, providing timely and courteous access to the organization.

3. Verifies and secures accurate patient demographic and insurance information, updating patient account information as needed.

4. Verifies insurance eligibility, and benefits for elective, emergent and urgent admissions procedures, or other services.

5. Pre-reg and making sure that all patients are financially cleared at least three days before the procedure. Providing pre-service estimate communication and collection of any required copays, deductibles, or co-insurances.

6. Assists patients in making arrangement as needed for patient responsibility by time of discharges for emergent or urgent services and admissions.

7. Maintains effective communication skills, including verbal, written and telephone.

8. Supports departmental polices, practices, and initiatives in support of patient experience. Collaborates and coordinates to create a positive experience through the entire patient access.

9. High School Diploma or equivalent required.

10. Other duties as assigned.

Saint Michaels Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $17.17 to $23.55. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Connect With Us! (https://careers-primehealthcare.icims.com/jobs/210814/financial-counselor-specialist/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)

FacilitySaint Michaels Medical Center

LocationUS-NJ-Newark

ID2025-210814

CategoryAdmin

Position TypeFull Time

ShiftDays

Job TypeNon-Exempt