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Financial Counselor - Admissions
Albert Einstein Healthcare
Philadelphia, PA US
Accounting & Finance
Financial Counselor - Admissions
Position Description As a NoVA Representative, the core job functions will encompass the due diligence needed to secure an account, mitigate financial risk & ensure proper payment. Required job elements include: NoVA Requirements Verify patient demographics in HIS and input all necessary corrections Verify health insurance coverage, including all supplemental coverage, for all inpatient, SPU & observation accounts using payer websites when possible according to established procedures and timeframes Utilize knowledge of insurance carrier requirements to ensure patient eligibility and adequacy of benefits Obtain required patient & insurance data elements as outlined in the NoVA Documentation Standards Obtain precert or initial authorization for accounts according to established procedures and timeframes when required by the insurance carrier for proper reimbursement Interact with Physician offices when needed to obtain precerts Ensure timely referral of accounts to Care Management when clinical information is required to secure an authorization Prioritize Group 1 accounts for NoVA completion and refer unsecured accounts to NoVA Management & Care Management Directors Notify payers upon admission of the patient according to payer requirements Refer patients to outside contractors for Medicaid eligibility screening upon discovery of a non-covered patient Notify NoVA Manager of unsecured scheduled accounts prior to day of service Attempt to secure all scheduled accounts one business day prior to admission or day of service Attempt to secure all nonscheduled accounts one business day post admission or day of service Customer Service Requirements: Communicate financial responsibility, including current and prior balances, to patient in a positive and professional manner
Notify appropriate registration staff of amounts to be collected on the date of service General Requirements Document all actions, interactions, patient data & insurance information in the specified fields as outlined in the NoVA Documentation Standards document according to established procedures and timeframes Maintain daily work & quality levels outlined by the NoVA Productivity & Quality Standards Scan and shred all patient & eligibility information after completion of NoVA processes Elevate account issues & barriers to the NoVA Manager to ensure timely resolution of issues Notify all necessary departments of insurance, and patient demographic updates Perform additional tasks delegated by the NoVA Unit Manager Apply the concept of teamwork to ensure that interactions between NoVA staff and other employees are positive and constructive If you possess the following qualifications, please apply immediately: High School Graduate or equivalent required. 1 year of insurance verification, financial counseling, registration or experience in a hospital setting required. Must be aggressive, organized, and possess strong oral and written communication skills. Must be able to work in a team environment. Ability to work independently.
Department: Admissions - TB Education: High School Diploma or GED Experience: 1 - 3 Years Job Code: 4910
This job was posted by Albert Einstein Healthcare.