Financial CounselorFacility: Mercy Medical Center Location: Rockville Centre, NY Department: Insurance Verification Category: Administrative / Business Support Schedule: Part Time, including Weekends Shift: Day shift Hours: 8:00AM-4:00PM ReqNum: 6023918
Part-Time, Day Shift, 8:00AM-4:00PM
Rockville Centre, NY
Explore a career with Mercy Medical Center, a 375-bed not-for-profit hospital and member of the Catholic Health Services of Long Island that has been serving the healthcare needs for the residents of Nassau County and its surrounding areas since 1913. Ranked among the top hospitals in New York State, Mercy offers a NYS designated Stroke Center, Breast Imaging Center of Excellence, Level III Neonatal Intensive Care Unit, and has received Pathway to Excellence designation from the American Nurses Credentialing Center the only hospital in the region and one of only two in NY State to receive this prestigious award.
Under general direction of the Director of Patient Access the Financial Counselor is responsible for verifying patient's insurance coverage and, as necessary, obtaining any required pre-certifications and authorizations from the patient's insurance carrier. Financial Counselors as part of the insurance verification process will verify coverage eligibility for the appropriate date of service as well as verify anticipated services are covered under the plan or contract.Financial Counselors coordinate benefits among multiple payors and determine appropriate patient responsibility, co-payments, co-insurance and/or deductibles. Financial Counselors are responsible for conducting pre-admit telephone interviews to ensure complete and accurate demographics and insurance information is entered into the Hospital Information System and also advises patients of their financial responsibility due and payable at time of service.
Prints/ reviews schedules, insurance and admissions reports from Star and EPIC to secure demographic and financial information needed to conduct financial investigations.Emergency Room Visit Payer reports are also reviewed to secure demographic and financial information needed to conduct outpatient financial investigations.
Verifies insurance coverage and benefits via telephone, internet or fax. Documents findings in notes section of Star registration including effective date of policy, subscriber, co-pay and/or deductible. CPT codes are also noted for specific outpatient insurance verifications as well as in or out-of-work benefits.
Conducts pre-admit telephone interview. Interviews patients/guarantor efficiently and courteously to obtain accurate information to enter into the hospital information system. Gathers data necessary to ensure timely reimbursement.
Informs patients/guarantors of patient financial responsibility including co-payments, co-insurance and deductibles due and payable at time of service.When necessary refers patients/guarantors to Director of Patient Access to ensure appropriate self-pay payments are secured
Ensures patients receive appropriate insurance authorizations and/or referrals per Managed Care guidelines.
Utilizes excellent customer service skills when interacting with patients, doctor's offices and insurance companies.
Advises patients to arrive on date of service with insurance cards, patient ID and prescription (if needed). Also advises patients of co pay, co-insurance, deductibles, authorizations and referrals needed, if applicable.
Is knowledgeable of MMC Financial Assistance programs.
Maintains confidentially of patients, employees, department and hospital information including computer passwords.
Education: High School Diploma, some college or equivalent education desirable.
Experience/skills: Previous registration or insurance verification experience desirable.Two or more years in a health related field, preferably in insurance verification.Excellence in customer service, interview and data accumulations skills, keyboard skills @45 wpm, medical terminology preferred.
At Catholic Health Services of Long Island your well-being comes first, with comprehensive compensation and benefits; our offerings go beyond the basics. In addition to multiple medical plans, life insurance, generous paid time off and flexible spending accounts, we also offer substantial tuition reimbursement, an employer funded pension plan and several savings plan options for your future.
MERCY MEDICAL CENTER
A Member of the Catholic Health Services of Long Island
An Equal Opportunity Employer M/F/D/V