Overview
At Saint Clare's Health, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Saint Clare's Health is actively seeking new members to join its award-winning team!
Saint Clare's Health includes CMS 5-Star Rated hospitals and is an award-winning provider of safe, high-quality, compassionate care, serving the communities of Morris, Warren, and Sussex counties. Its network of hospitals and healthcare facilities includes Denville Hospital, Dover Hospital, Behavioral Health Centers in Boonton, Denville, and Parsippany, and an Imaging Center in Parsippany, among other satellite locations. The hospitals have received multiple quality awards including Leapfrog “A” ratings for patient safety; Healthgrades recognition for orthopedic surgery, treatment of stroke, heart care, various surgical procedures, and more. For information, visit www.saintclares.com.
Saint Clare's Health is an equal employment opportunity employer. The company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information, or any other basis protected by applicable federal, state, or local laws. The company also prohibits harassment of applicants or employees based on any of these protected categories.
Responsibilities
The Financial Counselor determines patient liability based on benefits and advises patients of their liability prior to scheduled elective procedures. They notify patients of financial responsibility; collection arrangements are made prior to services rendered for all elective care. They verify insurance eligibility and benefits for emergent and urgent admissions, procedures, or other services, ensuring communication of patient responsibility to the patient or responsible party. They verify and secure accurate patient demographic and insurance information, updating patient account information as needed. The Financial Counselor assists patients in making arrangements as needed for patient responsibility by the time of discharge for emergent or urgent services. They screen and refer patients for possible linkage to state, county, or other government assistance programs as well as Charity or Discounts as per the facility Charity and Discount policies. The Financial Counselor works closely with Case Management in securing Medicaid/Medical treatment authorizations as needed. They maintain effective communication skills, including verbal, written, and telephone, and are proficient in mathematical skills.
Qualifications
Education and Work Experience
1. Knowledge of standard insurance companies and verification requirements.
2. Well-versed in authorization processes for all payers.
3. Ability to multi-task and prioritize needs to meet required timelines.
4. Analytical and problem-solving skills.
5. Customer service experience required.
6. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires).
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