University of Utah Financial Counselor in Salt Lake City, Utah

Details

Open Date 03/23/2017

Requisition Number PRN13832B

Job Title Financial Counselor

Working Title Financial Counselor

Job Grade C

FLSA Code Nonexempt

Patient Care Job Code? No

Standard Hours per Week 40

Full Time or Part Time? Full Time

Shift Day

Work Schedule Summary

Monday through Friday 8am to 5pm

VP Area Health Sciences

Department 01478 - SOD - EDUCATION

Location Campus

City Salt Lake City, UT

Type of Recruitment External Posting

Pay Rate Range 12.02 to 21.63

Close Date

NOTE: May close at anytime.

Open Until Filled

NOTE: May close at anytime. Yes

Job Summary

Supports billing and collections processes by verifying eligibility and benefits, collecting co-pays, obtaining pre-authorizations, and maintaining patient insurance, billing, and demographic information. May also prepare charges and bills, post payments, and perform follow up on accounts.

This position has no responsibility for providing care to patients.

As a patient-focused organization, the University of Utah Health Sciences exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. The Health Sciences Center seeks faculty and staff who are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission.

Responsibilities

1. Verifies patient benefits and eligibility for financial assistance.

2. Collects co-pays and deposits, and maintains cash box and log of payments.

3. Obtains or confirms pre-authorization for procedures. Enters or checks patient registration demographics and makes corrections as needed. Documents insurance coverage and authorization information in patient account notes.

4. Meets with patient and/or family to explain insurance coverage, treatment costs, hospital billing policies, and prompt pay or financial hardship discounts.

5. Interviews patients to determine eligibility for programs, reviews patient financial information, and helps them complete financial disclosure forms if necessary.

6. In accordance with University of Utah School of Dentistry policies, makes decision regarding patient eligibility for financial aid and communicates decision to patients and providers.

7. Maintains understanding of various grant funding requirements as they pertain to financial support for needy patients.

8. Maintains tracking system of patients eligible for and supported by School of Dentistry financial aid.

9. In conjunction withUUSODadministrative team, develops written materials and policies that support and facilitate patient financial aid.

10. Responds to incoming calls regarding account status from patients and insurance companies.

11. Follows up on unpaid accounts and insurance company rejections or denials. Follow up may include checking claim status with insurance company, correction of bad addresses, etc.

12. Enters patient charges in computer, posts payments and/or does billing for clinic.

13. Responds to staff or patient questions regarding insurance procedures and policies.

Problem Solving:

The Financial Counselor directly affects clinic profitability, because correct insurance information and proper authorization is mandatory for successful collections. The incumbent may have the authority to offer prompt payment discounts, determine patient eligibility for programs or sliding scales, recommend charity adjustments, and obtain authorization for procedures. The incumbent must observe Medicare standards andCPTandICD-9 codebook guidelines, maintain patient confidentiality, and interact professionally with patients and/or patient representatives who may be in sensitive or stressful situations.

This job description has been designed to indicate the general nature and level of work performed by employees withing this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job

Work Environment and Level of Frequency typically required:

Nearly Continuously: Office environment.

Physical Requirements and Level of Frequency that may be required:

Nearly Continuously: Sitting, hearing, listening, talking.

Often: Repetitive hand motion (such as typing), walking.

Seldom: Bending, reaching overhead.

Minimum Qualifications

Two years of billing experience (medical setting preferred) and knowledge of debits and credits, insurance company policies, and medical terminology. MS Word and Excel skills. Strong customer service, demonstrated human relations skills, and effective communication skills required. Knowledge of coding may be preferred for some positions.

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Preferences

Two years billing experience in a large, complex medical/dental healthcare system.

Prior experience working with major insurance companies.

Medical and Dental terminology.

Prior experience working with billing systems.

Strong customer services and human relations skills.

Ability to effectively and respectfully communicate with patients from diverse backgrounds.

Bilingual in Spanish.

Knowledge of Medicaid.

Bachelor’s degree.

Type Benefited Staff

Special Instructions Summary

Additional Information

The University of Utah is an Affirmative Action/Equal Opportunity employer and is committed to diversity in its workforce. In compliance with applicable federal and state laws, University of Utah policy of equal employment opportunity prohibits discrimination on the basis of race or ethnicity, religion, color, national origin, sex, age, sexual orientation, gender identity/expression, veteran’s status, status as a qualified person with a disability, or genetic information. Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities, and protected veterans are strongly encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law.

To inquire about this posting, email: employment@utah.edu or call 801-581-2300. Reasonable accommodations in the application process will be provided to qualified individuals with disabilities. To request an accommodation or for further information about University AA/EO policies, please contact the Office of Equal Opportunity and Affirmative Action, 201 S. Presidents Cr., Rm 135, (801) 581-8365 (V/ TDD ), email: oeo@umail.utah.edu .

The University is a participating employer with Utah Retirement Systems (“URS”). To be eligible for retirement contributions, you must be hired into a benefit-eligible position. Certain new hires are automatically assigned to the URS retirement plan and other employees with prior URS service, may elect to enroll in the URS within 30 days of hire. Regardless of whether they are hired into a benefit-eligible position or not, individuals who previously retired and are receiving monthly retirement benefits from URS must notify the Benefits Department upon hire. Please contact Utah Retirement Systems at (801)366-7770 or (800)695-4877 or the University’s Benefits Department at (801)581-7447 for information.

This position may require the successful completion of a criminal background check and/or drug screen.