Financial Counselor/Reimbursement Specialist: Full Time
Cascade Medical
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- Location
- Leavenworth, WA
- Work style
- On-site
- Job type
- Full time
- Posted
- Oct 19
- 3 days ago
Career path
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About the company
Cascade Medical
Medical practice · 51 to 200 employees
What you'll do
- Review admission records to verify information and payor-specific requirements
- Verify insurance and communicate problems with coverage
- Evaluate guarantors' ability to pay and establish payment arrangements
- Review open accounts and take action to resolve problems and obtain payment
- Follow up with insurance companies to resolve problems
- Complete Charity applications and assemble support documentation
- Prepare Bad Debt information for monthly and yearly reports
What you need
- Experience with Charity Care and Bad debt
- Proficient in State/Federal regulations relating to appropriate collection practices
- Knowledge of medical billing and payments including Medicaid and self-pay
- Must be proficient in the use of computers
- Must be able to work independently as well as on a team
- Minimum of two (2) years collection experience (medical collections preferred) (preferred)
- Bi-Lingual (Spanish) (preferred)
Key skills
medical billing and paymentsState/Federal regulationsappropriate collection practicesMedicaidself-payCharity CareBad debtcomputersinterpersonal skills
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Description:
Cascade Medical, located in beautiful downtown Leavenworth in the Cascade foothills of Central Washington, has an opening for an experience Financial Counselor to join our dynamic Business Office team.
Work schedule will be Monday thru Friday; 40 hours per week, hours varied 8am-4/5:30pm
Perform all tasks necessary to ensure accurate billing of Patients or Guarantors. Evaluates customer ability to pay and supply appropriate solutions in conjunction with the credit policy of Cascade Medical. Verify insurance information. This position also follows-up with insurance companies to resolve any problems. Contact guarantors and effectively collect patient balances in a friendly and timely manner
Duties include:
score: N/A
Review admission records to verify all information is correct and meets payor specific requirements. Bill cash account to guarantor.
Will have frequent contact with patients, account guarantors, and insurance companies in reference to payment of outstanding account balances.
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Review payor billing and payment information when received. Update procedures or protocols when necessary. Maintains documentation on coverage issues for the payors assigned.
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Evaluate guarantor's ability to pay. Verify insurance and communicate problems with coverage. Contact cash pay patients to establish an alternative pay-source for payment arrangements agreed upon before discharge. Utilize available tools effectively to maximize payment receipts.
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Review each open account every 30 days. Complete, correct and take appropriate action to resolve any problems and obtain payment. Continue timely follow-up until account is closed. Use CMC's Credit Policy to resolve delinquent accounts.
score: N/A
Understand an effectively communicate Cascade Medical Center Policy to guarantors.
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Answer telephone in courteous and timely fashion and respond to billing calls appropriately. All billing personnel will be responsible for answering the calls directed to the billing department.
score: N/A
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Complete Charity applications and assemble support documentation when appropriate.
score: N/A
Document all work on an account at the time the activity is completed.
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Respond to written communication from guarantors or payors on the day received. Request any information needed that you do not have direct access to. Correspondence may include letters, memos, EOBs, returned billings, remittance denial notices or any other document relating to an account.
score: N/A
Check for multiple accounts before processing credit balances making contract arrangements for payment, calling guarantors about delinquent accounts, or discussing charity/financial disclosures.
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Maintain work procedures pertinent to job assignment.
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Update and correct computer-based information provided to patients. Advise other departments when applicable.
score: N/A
Use effective time management.
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Work with patients to resolve questions about charges for services or concerns about services provided or not provided by CMC.
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Maintain excellent attendance requirements of the department.
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Project a professional image in accordance with CMC's Personal Appearance Standards.
score: N/A
Perform special projects as needed.
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Work with multiple interruptions and demonstrate ability to meet deadlines.
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Performs admitting and clinical registration functions as needed in the event of staff shortages and breaks.
score: N/A
Expected to demonstrate sound judgement when negotiating account payments with patients, guarantors and insurance company representatives.
Work closely with collection agency on accounts.
Prepare Bad Debt information and provide to CFO for monthly and yearly reports.
Help patients complete any financial paperwork.
Qualifications:
Minimum of two (2) years collection experience desired (medical collections preferred)
Bi-Lingual (Spanish) desired.
Experience with Charity Care and Bad debt.
Proficient in State/Federal regulations relating to appropriate collection practices.
Knowledge of medical billing and payments including Medicaid and self-pay
Positive and pleasant telephone etiquette.
Consistently focus on maintaining confidentiality of patient information.
Must be proficient in the use of computers.
Must be able to work independently as well as on a team.
Must possess interpersonal skills that align with CM's Shared Values.
TO APPLY: Please complete an on-line application and attach resume with cover letter of interest w/salary requirements. The position is open immediately and applications will be reviewed as they are submitted.