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+ Position Summary

+ Oversees Central Access Center Financial Counselors and coordinates the daily workflow of the Outpatient Centralized Financial Counseling department. The Department is responsible for verifying eligibility and benefit information on all scheduled procedures, securing pre-certification via software or phone, medical necessity and communicating back to the patient their estimated financial responsibility. Serves as a working member of the group with supervisory responsibilities that include personnel assignments, training, and control of workflow. Integral member of the Revenue Cycle Team.

Responsible for ensuring that insurance requirements and financial obligations are obtained and/or communicated to patients for collection of elective hospital services prior to date of service and/or billing.

Primary Position Responsibilities

+ Verifies insurance eligibility and benefits.

+ Secures pre-certification.

+ Medical necessity verification.

+ Communicates financial responsibility to patients for scheduled procedures.

+ Promotes harmony and teamwork in all areas of Financial Counseling and Revenue cycle.

+ Ensures that staff uses appropriate patient satisfaction practices.

+ Part of the Denial Management Committee- responsible for maintaining established benchmarks related to pre-certification, medical necessity and other metrics the committee tracks and trends.

+ Qualifications

+ Minimum Education :

+ Required:

+ High School Diploma or Equivalent

+ Preferred:

+ None

+ Minimum Years of Experience (Amount, Type and Variation) :

+ Required:

+ None

+ Preferred:

+ One year of medical office/hospital registration/patient accounting experience

+ License, Registry or Certification :

+ Required:

+ None

+ Preferred:

+ None

+ Knowledge, Skills and/or Abilities :

+ Required:

+ PC Skills, Excellent Customer service skills, Detailed oriented, Multi-tasking skills

+ Preferred:

+ Medical terminology, Insurance knowledge

Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.

The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant’s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).