FINANCIAL COUNSELOR - PFS FINANCIAL CLEARANCE Job at Cape Fear Valley Health System
Work Type: FULL TIME
Work Schedule: DAYS
Location: CAPE FEAR VALLEY MEDICAL CENTER
Position Summary:
Receives accounts and/or schedules for review and work-up regarding preadmission, admission, or add-on procedures, and services. Interviews patients for necessary account follow-up, to obtain accurate and detailed demographic, and financial information. Verifies insurance information, benefits, and initiates medical certification; reviews medical necessity, and assures that authorization is noted on file with supporting reference for the appropriate procedure, service, and/or patient status. Receives, reviews, and completes necessary follow-up for encounter denials. Notifies patients of financial responsibility; explains and reviews insurance coverage, and collects patient’s responsibility via phone, or at time of service, to include initiation of payment arrangements if needed, or as required.
Knowledge, Skills, and Abilities:
One to two years (1-2) insurance/clerical experience within a hospital or medical office setting. Must have knowledge of insurance and collection of payments. Must have experience with Microsoft software. Must possess excellent verbal and written communication skills, customer service skills and problem-solving abilities. Must be multi-skilled with the ability to appropriately handle complexity and stress with the changing needs of the patients, families, visitors, and the Health System. May be required to periodically rotate shifts and regular days off. All system employees must have the flexibility to meet the department hours of operation. Medical Terminology required within one year of employment.
Required Education, Licenses, and Certifications:
- High School Diploma or GED
- CERTIFIED PATIENT ACCESS SPECIALIST
Hired prior to 9/2022: Employee will have until 10/1/2023 to receive a Certified Patient Access Specialist certification (CPAS) Hired after 9/2022: Employee will have one year to receive a Certified Patient Access Specialist certification (CPAS)
Preferred Education, Licenses, and Certifications:
- Some College
Business, Medical Office Administration, Health Care Administration and/or Computer Technology
Must be able to communicate orally, see, and hear to collect information. Must have dexterity to operate office equipment. Position operates in an office, call center environment. The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen. The noise level is low to moderate. Answers telephone calls, uses personal computer and other business machines extensively. Bends, reaches, pushes and pulls file drawers to file records and reports. Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 pounds.
About Cape Fear Valley Health System
For exceptional healthcare come to Cape Fear Valley Health - where caring employees provide exceptional healthcare to all our patients. At Cape Fear Valley Health, our goal is to improve the quality of every life we touch. To achieve that, our doctors, nurses and staff are committed to excellence in every aspect of the healthcare process. Our values of patient-centeredness, integrity, innovation, teamwork, diversity, and accountability help us create a better experience for every patient, every time. At Cape Fear Valley, our employees and physicians proudly serve a seven-county region of southeastern North Carolina, including Fayetteville, Fort Bragg, Hope Mills, Raeford, Lumberton, Elizabethtown, Clinton, Lillington, Dunn and beyond. Our medical facilities include Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fear Valley Rehabilitation Center, Behavioral Health Care, Bladen County Hospital, Hoke Hospital, Central Harnett Hospital, Betsy Johnson Hospital, as well as several medical offices and specialty clinics spread throughout the Cape Fear region. Since 2017, we have had a graduate medical education program that is home to more than 180 residents and fellows who participate in nine areas of concentration, including Internal medicine, emergency medicine, OB/GYN, general surgery, transitional year, psychiatry, podiatry, cardiology, and child adolescent psychiatry.
Screening Requirements: Drug Screen, Background Check, License and Employment reference verification.
Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity
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