Category: Billing/Collections/Registration
Status: Full-Time
Shift: Day
Facility: RWJBarnabas Health Corporate Services
Department: Patient Financial Services
Location: 600 RIVER RD, LAKEWOOD, NJ 08701
Job Title: Financial Counselor
Location: Kimball Medical Center
Department Name: Patient Financial Services
Req #: 0000206932
Status: Hourly
Shift: Day
Pay Range: $20.14 - $25.47 per hour
Pay Transparency:
The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.
The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.
Job Summary:
The Financial Counselor ensures that coverage is financially cleared for all emergency inpatient and observation services by the review of insurance eligibility and benefits. The counselor is also responsible for creating estimates and upfront cash collection as needed. Interacts with all patient related hospital departments, patients, families, visitors, nursing personnel and medical staff. Identifies the appropriate payment source, which may include patient payment and/or referrals for enrollment in government programs including Medicaid and Charity Care. Daily tasks include inpatient and observation patient accounts review, authorization and benefit determination, creating estimates and collecting point of service cash when appropriate. If applicable, providing timely and appropriate referrals for various state medical assistance programs.
Essential Functions:
Take actions that will support maximization of collection of balances due or account resolution from all sources. Meets Quality and Productivity expectationsFacilitate account resolution. Accurately identify, follow-up on, or correct billing errors, lower than expected reimbursement, or denials for correction for submission or resubmission to patients and/or insurance carriers. Accurately perform actions on accounts that will result in the least amount of time and effort to bring an account to resolution based on job specific priority matrixTimely identify, research, and resolution any issues that may cause delays in payment or account resolution. Identify and recommend opportunities to improve collections and follow-up activitiesWork collaboratively across teams, with peers, and revenue cycle departmentsJob Requirements:
High School Diploma or GED equivalent required within one (1) year of hire.Candidates who do not possess a High School Diploma or GED equivalent will be provided the opportunity to enroll in a GED/HSEA program at time of hire as a condition of employment. A hired candidate will be provided one (1) year from date of hire to successfully complete a GED program and obtain their HSEA.RWJBarnabas Health is committed to our communities and the members we serve. RWJBH understands that in order to create strong, healthy, and sustainable communities, we have to re-engineer and transform current systems. Providing educational support and resources contributes to our overall social impact mission and community investment efforts.4 years similar hospital billing or accounting experienceKnowledge of Charity Care. Uncompensated Care, and Medicaid guidelines and regulationsKnowledge of medical terminology and insurance verification preferredCandidate must be detail-orientedComputer experience requiredA minimum of three years insurance authorization/pre-certification experience required.Knowledge of insurance, insurance verification and TOS collectionsPrior experience in hospital admissions preferred.Ability to communicate effectively.Bilingual English/Spanish preferredPreferred:
Preferred experience includes insurance verification, cash collections, and obtaining Notices of Admission (NOA), with knowledge of insurance plans.Scheduling Requirements:
Full-timeMonday through Friday 8a-4p onsite Rotating every other weekend (8am-4pm Saturday and Sunday) and rotating holidays requiredOther Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Additional Information:
At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to:
Paid Time Off including Vacation, Holidays, and Sick TimeRetirement PlansMedical and Prescription Drug InsuranceDental and Vision InsuranceDisability and Life InsurancePaid Parental LeaveTuition ReimbursementStudent Loan Planning SupportFlexible Spending AccountsWellness ProgramsVoluntary Benefits (e.g., Pet Insurance)Community and Volunteer OpportunitiesDiscounts Through our Partners such as NJ Devils, NJ PAC, and Verizon .and more!RWJBarnabas Health is an Equal Opportunity Employer