Financial Counselor - Grand Forks - job 1197775

Altru Health System Clinic

Date: 09/12/2021

City: Grand Forks, North Dakota

Employment type: Full-time


Job Summary # # Financial Counselors assist patients in applying for local, state and federal assistance and are certified to assist with the Federal marketplace.They are certified in assisting patients in applying for Hospital Presumptive Eligibility through the state of North Dakota and Minnesota and also assist with Altru#s internal charity programs such as Community Care, Charity, and assistance through the Altru Foundation. Financial Counselors serve as liaisons between external organizations and assist in gathering documents to support eligibility and appeals. Financial counselors represent Altru#s HERO program in community outreach events and work with self-pay patients to collect pre-payments while also counseling and educating patients on their insurance benefits and connecting patients with external resources when needed. # # Essential Job Functions Receives and responds to patient, professional and clinical inquiries in person or by telephone and provides accurate processing and billing support. Explains insurance benefits, payments, claim submission, billing and general Business Office procedures. Acts as the primary contact for customers, clinical, and support staff via phone calls, e-mails, and written correspondence to resolve problems, concerns, insurance, coding and billing questions. Evaluates, develops and implements action plans to arrange payment of outstand balances. Resolves and documents all issues and concerns that are received. Assists guarantors who have minimal or no insurance coverage to determine a course of action to maximize prompt payment and minimize bad dept. Reviews assigned inpatient admissions and visits patient and/or family members on floors to obtain required information. Performs account analysis and educates guarantors in regards to payment issues on outstanding patient balances. Reviews, verifies and evaluates demographic and third party payer information as they are related to patient accounts. Provides notary public services, as needed. Process assigned computer generated bills and posts payments and/or adjustments on assigned accounts. Addresses patient complaints, financial concerns and any other issues in a courteous and professional manner using resources available both internally and externally. Performs other duties as assigned or needed to meet the needs of the department/organization. Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure. Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services. Demonstrates knowledge and understanding of and compliance with: All pertinent safety, health and environmental policies, procedures and guidelines. Working safely, without causing harm or risk to self, others or property. The work environment safety procedures and prompt reporting of unsafe practices, procedures, accidents, injuries or other safety violations to the Leader. The use of all safety equipment and personal protective equipment. # Driving Requirements # Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials. Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily. Occasional Drivers: Persons who drive from once per month to as frequently as once per week. Infrequent Drivers: Persons who are generally not expected to drive. # Driving Category # Occasional Driver # License, Certification # Registration Title Credentialing Body Timeframe When Needed Verified By # Certified Application Counselor (CAC) Health Insurance Marketplace Within 6 Months of Start Date HR Primary Sources Driver#s License with Acceptable Driving Record Drivers License - Current State Licensed Prior to Start Date HR Primary Sources # # Education # Experience # Degree/Diploma Program of Study Required/Preferred # # Associate#s Business # # Experience Required/Preferred # And/Or A minimum of 2 years of related experience Required # # # # Knowledge # Skills Title Required/Preferred # Knowledge of state and federal medical assistance programs. Required Demonstrates the ability to effectively communicate both verbally and in written format. Required Demostrates proficient computer skills with a high degree of accuracy for computer tasks. Required Demonstrates excellent customer service skills. Required # Physical Demands # Frequency 8 Hour Shift 10 Hour Shift 12 Hour Shift Rarely (1-4%) 1-19 min 1-24 min 1-29 min Occasionally (5-33%) 19 min-2.6 hrs 24 min-3.3 hrs 29 min-3.9 hrs Frequently (34-66%) 2.6-5.3 hrs 3.3-6.6 hrs 3.9-7.9 hrs Continuously (67-100%) 5.3-8 hrs 6.6-10 hrs 7.9-12 hrs # # Activity Frequency # Sit Continuously (#67%) Stand Occasionally (5-33%) Walk Occasionally (5-33%) Stoop/Bend Occasionally (5-33%) Reach Frequently (34-66%) Climb Not Applicable Crawl Not Applicable Squat/Crouch/Kneel Occasionally (5-33%) Twist Occasionally (5-33%) Handle/Finger/Feel Continuously (#67%) See Continuously (#67%) Hear Continuously (#67%) # Weight Demands Activity Amount # Lift - Floor to Waist Level Sedentary (#10 pounds) Carry Sedentary (#10 pounds) Push/Pull Sedentary (#10 pounds) Slide/Transfer Not Applicable # Working Conditions Condition Frequency # Indoor Continuously (#67%) Outdoor Not Applicable Extreme Temperature Not Applicable # Employee Health Functional Assessment Hazardous Drug Exposure Fit Testing Required # Not Applicable Yes No


Job Summary


Financial Counselors assist patients in applying for local, state and federal assistance and are certified to assist with the Federal marketplace.They are certified in assisting patients in applying for Hospital Presumptive Eligibility through the state of North Dakota and Minnesota and also assist with Altru's internal charity programs such as Community Care, Charity, and assistance through the Altru Foundation. Financial Counselors serve as liaisons between external organizations and assist in gathering documents to support eligibility and appeals. Financial counselors represent Altru's HERO program in community outreach events and work with self-pay patients to collect pre-payments while also counseling and educating patients on their insurance benefits and connecting patients with external resources when needed.


Essential Job Functions



  • Receives and responds to patient, professional and clinical inquiries in person or by telephone and provides accurate processing and billing support. Explains insurance benefits, payments, claim submission, billing and general Business Office procedures.

  • Acts as the primary contact for customers, clinical, and support staff via phone calls, e-mails, and written correspondence to resolve problems, concerns, insurance, coding and billing questions. Evaluates, develops and implements action plans to arrange payment of outstand balances. Resolves and documents all issues and concerns that are received. Assists guarantors who have minimal or no insurance coverage to determine a course of action to maximize prompt payment and minimize bad dept.

  • Reviews assigned inpatient admissions and visits patient and/or family members on floors to obtain required information.

  • Performs account analysis and educates guarantors in regards to payment issues on outstanding patient balances. Reviews, verifies and evaluates demographic and third party payer information as they are related to patient accounts.

  • Provides notary public services, as needed.

  • Process assigned computer generated bills and posts payments and/or adjustments on assigned accounts.

  • Addresses patient complaints, financial concerns and any other issues in a courteous and professional manner using resources available both internally and externally.

  • Performs other duties as assigned or needed to meet the needs of the department/organization.

  • Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure.

  • Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services.

  • Demonstrates knowledge and understanding of and compliance with:

  • All pertinent safety, health and environmental policies, procedures and guidelines.

  • Working safely, without causing harm or risk to self, others or property.

  • The work environment safety procedures and prompt reporting of unsafe practices, procedures, accidents, injuries or other safety violations to the Leader.

  • The use of all safety equipment and personal protective equipment.


Driving Requirements



  • Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.

  • Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.

  • Occasional Drivers: Persons who drive from once per month to as frequently as once per week.

  • Infrequent Drivers: Persons who are generally not expected to drive.


Driving Category


Occasional Driver


License, Certification & Registration


Title


Credentialing Body


Timeframe When Needed


Verified By


Certified Application Counselor (CAC)


Health Insurance Marketplace


Within 6 Months of Start Date


HR Primary Sources


Driver's License with Acceptable Driving Record


Drivers License - Current State Licensed


Prior to Start Date


HR Primary Sources


Education & Experience


Degree/Diploma


Program of Study


Required/Preferred


Associate's


Business


Experience


Required/Preferred


And/Or


A minimum of 2 years of related experience


Required


Knowledge & Skills


Title


Required/Preferred


Knowledge of state and federal medical assistance programs.


Required


Demonstrates the ability to effectively communicate both verbally and in written format.


Required


Demostrates proficient computer skills with a high degree of accuracy for computer tasks.


Required


Demonstrates excellent customer service skills.


Required


Physical Demands


Frequency 8 Hour Shift 10 Hour Shift 12 Hour Shift Rarely (1-4%) 1-19 min 1-24 min 1-29 min Occasionally (5-33%) 19 min-2.6 hrs 24 min-3.3 hrs 29 min-3.9 hrs Frequently (34-66%) 2.6-5.3 hrs 3.3-6.6 hrs 3.9-7.9 hrs Continuously (67-100%) 5.3-8 hrs 6.6-10 hrs 7.9-12 hrs


Activity


Frequency


Sit


Continuously (>67%)


Stand


Occasionally (5-33%)


Walk


Occasionally (5-33%)


Stoop/Bend


Occasionally (5-33%)


Reach


Frequently (34-66%)


Climb


Not Applicable


Crawl


Not Applicable


Squat/Crouch/Kneel


Occasionally (5-33%)


Twist


Occasionally (5-33%)


Handle/Finger/Feel


Continuously (>67%)


See


Continuously (>67%)


Hear


Continuously (>67%)


Weight Demands


Activity


Amount


Lift - Floor to Waist Level


Sedentary (<10 pounds)</p>


Carry


Sedentary (<10 pounds)</p>


Push/Pull


Sedentary (<10 pounds)</p>


Slide/Transfer


Not Applicable


Working Conditions


Condition


Frequency


Indoor


Continuously (>67%)


Outdoor


Not Applicable


Extreme Temperature


Not Applicable


Employee Health


Functional Assessment


Hazardous Drug Exposure


Fit Testing Required


Not Applicable


Yes


No





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