Job Description

Our patients are our number one priority! We're committed to giving children back their childhood!

Job Posting Title:

Patient Financial Counseling

Location:

Frisco - Ambulatory Surgical Center

Additional Posting Details:

Monday - Friday

8:00am - 4:30pm

Duties/Responsibilities

• Accurately process charity adjustments based on Crayon Care enrollment status, which includes identifying the greater discount between the Amount Generally Billed (AGB) and the charity discount.
• Provides and accurately processes Crayon Care applications based on hospital charity policy and send appropriate correspondence letters to patients’ families.
• Add insurance coverage and update the billing system to reflect the insurance status of the patient including pharmacy coverage when needed.
• Appropriately document information in the medical record consistent with departmental standards.
• Maintain working knowledge of state managed care plans and screen self-pay patients for possible eligibility on Medicaid and CHIP programs.
• Manage incoming inquiries regarding payments, charity care, insurance coverage benefits, billing disputes, prior authorizations, patient complaints, outpatient and surgical estimates, payment plans, and any other patient family request.
• Work with families by providing information on changing manage care plans as needed.
• Explain bills, itemized statements, and any other patient correspondence accordingly.
• Manages all necessary registration and claims corrections that may arise to ensure accurate billing.
• Accurately process estimates for services based on patients benefits or non-benefits.
• Assist with departmental coverage when needed.
• Supports hospital and departmental initiatives, change efforts, and improvement goals.
• Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality, and patients’ rights, guides in this area.
• Engages in strong communication, acts as team player in supporting mission and vision of organization, and abides by organization core values.

Required Skills/Abilities

• High school diploma required
• Bachelor's degree preferred
• Two to five years’ experience working in hospital patient access and/or billing, physician office billing and collections, or an equivalent combination of relevant education and/or experience
• Strong analytical skills preferred
• Bilingual preferred