Job Openings

Patient Financial Counselor II

Job ID: BH474381

Category: Medical Billing, Billing, Accounting and Finance

Specialty: Accounting & Finance

Patient Financial Counselor II
Contract

Job Summary:
As the Patient Financial Counselor you will be registering, verifying eligibility, obtaining authorizations and gathering financial billing information for Inpatient and Outpatient services for all hospitals. To prepare billings, execute contractual adjustments and pursue third-party payors and self-pay balances, and respond to patient and third-party inquiries for all hospitals. Further duties include:

  • Update and/or register patient in billing system, while verifying financial and demographic information as needed. Correctly determine patient financial status to ensure financial obligations to hospital are met.
  • Interacts with medical staff and Nursing regarding patient bed assignments and initiates patient registration.
  • Reviews all billing edits for accuracy to ensure timely corrections per department policy allowing the hospital to meet contractual obligations and comply with government regulations.
  • Prepares all billing to third-party payors and submits to appropriate party electronically or by hard copy. Corrects all rejected/incomplete claims and resubmits in system.
  • Pursues third-party payors (i.e. Medicare, Medi-Cal, private insurance) until account is paid or is denied, while sending timely appeals adhering to payor requirements and/or regulations. 
  • Interfaces with social service agencies. Refers patients to CHS Community Service Program when appropriate and ensures that applications are completed and determinations are made in a timely manner.
  • Receives incoming calls from patients, medical staff, and third-parties regarding patient accounts while maintaining established patient confidentiality guidelines.
  • Determines costs and explains self-pay portions of accounts with patients.
  • Establishes acceptable payment plans on self-pay liabilities with appropriate documentation noted in Sunrise System per departmental policy.
  • Meets established productivity goals according to departmental policy.

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The Planet Group of Companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Type: Temp/Contract

Location: Santa Barbara, California