Introduction

Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Financial Counselor opening with Tulane Medical Center today and find out what it truly means to be a part of the HCA Healthcare team.

Benefits

Tulane Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

We are seeking a(an) Financial Counselor for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!

Job Summary and Qualifications

The Financial Counselor shall be a designated member of the Pre Registration, Registration or Authorization team who must understand detailed medical terminology, related insurance rules and regulations and the demographics of the community. Responsibilities will also include coordinating financial aspects of care in conjunction with the PAS Department-Patient Financial Counselor. The financial counselor will work with patients and their families beginning with the evaluation for treatment and continuing through and after treatment, in a compassionate and tactful manner in order to help facilitate access to and provide continuity of care. They will help the patient understand the billing process and will help the patient resource options for financial aid from outside sources. The financial counselor will use knowledge of insurance companies to coordinate coverage for patient. S/he advises providers, patients and caregivers about available benefits and financial obligations related to covered and non-covered treatment costs. The financial counselor will also work in collaboration with other members of the Clinics, insurers, and administrative personnel. The Financial Counselor serves as the Pre Registration, Registration or Authorization Lead who provides assistance to Customer Service Coordinators and the Practice Manager in researching and resolving complex patient related issues. The Financial Counselor reviews accounts for accuracy including proper pre-registration, registration and obtaining authorization accordingly.

• Communicate clearly and concisely verbally and in writing with a customer focused orientation.
• Inventory Management
• Review and monitor reports to provide oversight of patient care and ensure timely initiation and accurate completion of pre-registration, registration or authorization.
• Work directly with Practice Manager and clinic staff as well as communicate unresolved escalated issues timely to avoid any delay in patient care.
• Meet all departmental goals and time frames as designated by department leaders to ensure timely patient care
• Oversee the daily activities of the clinic pre-registration, registration and authorization processes ensuring standards are met/exceeded including proper documentation and record keeping
• Review and audit cases for missed opportunities and process improvement including completion
• Assist Practice Manager with training and coaching of employees in achieving desired outcome of established performance standards.
• Assist Practice Manager with identifying performance and productivity areas of opportunities
• Perform clerical/administrative duties as designated by the Practice Manager
• PC skills - knowledge of Microsoft Office, spreadsheets, financial reports.
• Completes initial financial screening on all new/referred patients including but not limited to:
• Confirms employment unemployment status
• Reviews and documents policy benefits if insured
• Reviews and documents drug coverage if insured
• Confirms coordination of benefits for medical and drug coverage with insurer
• Confirms co-pays/ co-insurance, covered and non-covered expenses
• Accurately identifies managed care plans, provider network eligibility status and access utilization requirements.

• Educate patients and caregiver(s) about their financial responsibility; providing out-of-pocket cost estimates.
• Screen for assistance program eligibility up front.
• Communicates to physicians, care team and administration of any potential reimbursement issues prior to treatment being provided, works collaboratively with provider, insurer and administration to resolve.
• Review and work denial, appeals as necessary; submits coding and clinical documentation for medical necessity.
• Attends and participates in bi-weekly conference
• Performs other duties as assigned.

What qualifications you will need:

• Licensure/Certification/Registration:
• Education: Associates degree in HIM preferred.
• Experience: Minimum of 1 year experience in a physician front office /hospital patient access setting. Minimum of 1 year experience with insurance procedures/terminology and patient interactions. Minimum of 1 year experience obtaining authorizations/predeterminations.
• Special qualifications: Experience in ICD-10 and CPT coding.
• Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.
• Leadership - guides individuals and groups toward desired outcome by providing training, advice and feedback to assist/support employees in achieving established performance standards
• Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
• Strategic execution - assist in monitoring operational processes and making recommendations for changes/adjustments as needed during the implementation or change to new products or processes
• Work schedule: Authorizations - Full-time - Monday–Friday(8:00 am-4:30 pm)

This role requires you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations (unless a medical or religious exemption is approved).

Tulane Medical Center is a 235+ bed teaching, research and medical center serving the greater New Orleans area. Tulane Medical Center has been named a World’s Best Hospital by Newsweek in its 2019 listing of the top medical facilities. Of the 1,000 hospitals listed in the report, Tulane Medical Center is one of just 250 World’s Best Hospitals found in the United States. We were the only hospital in southern Louisiana on the list. At Tulane Medical Center, our mission statement reminds us that above all else we are committed to the care and improvement of human life. When we speak of our mission, we usually think about our dedication to patients and their families and our commitment to them. We are equally committed to our employees. You are part of an organization with a long history of compassion and service to patients. The degree to which we as an organization can provide quality healthcare service is highly dependent on how well you are able to perform your job.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Across HCA Healthcare’s more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare.
Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN
Senior Vice President and Chief Nursing Executive

If you find this opportunity compelling, we encourage you to apply for our Financial Counselor opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.