Care Coverage Counselor - AH St Vincent Kokomo IN 1907 W. Sycamore Kokomo, Ascension - (Full Time, Evenings)

Company: R1 Revenue Cycle Management
Location: Kokomo
Posted on: June 6, 2021

Job Description:

Shift Days: Monday- Friday, rotating weekends Shift Hours : Evenings

R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1 is a publicly-traded organization with employees throughout the US and international locations.

Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients and each other. With our proven and scalable operating model, we complement a healthcare organization's infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.

The Care Coverage Counselor (CCC) will be responsible for counseling patients or parties responsible for payment. The Care Coverage Counselor will educate patients on their responsibilities and potential options. The CCC is responsible for accurately and compassionately explaining to the patient their financial obligations during the financial counseling session. In addition, the counselor must obtain any necessary pre-certifications or authorizations and assist with any financing or third-party applications.

In order to be successful in the role, the Care Coverage Counselor must display a strong sense of patient care and attention to detail.

Responsibilities:

• Explain financial responsibilities for services received, payment options and collection procedures to patients or parties responsible for payment.
• Counsel patients regarding insurance benefits and recommend alternative sources of payment and financial assistance when appropriate.
• Contact insurance carriers or other sources and act as an advocate for the patient.
• Initiate process for collecting prepays due and perform follow up activity to insure maximum collection is achieved.
• Identify hospital, public and private financial assistance programs for patients unable to meet their financial obligations.
• Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in completing assistance program applications and determine eligibility and coverage.
• Notify manager, physician and servicing department of possible delay of service for any elective, urgent admissions, procedures and scheduled diagnostic testing which have not been approved prior to the date of service.
• Maintain accurate documentation of pre-processing information.
• Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency.
• Perform all other duties and projects as assigned.

Required Qualifications:

• High school diploma is required
• At least 3 years of credit, collection or financial counseling experience required
• Working experience with the Microsoft Office Suite
• Strong customer service skills with the ability to communicate effectively with patients and outside agencies
• Ability to work in a team environment
• Excellent written and oral communication skill
• Positive, driven attitude with a willingness to go the extra mile to help patients and the hospital achieve maximum reimbursement from coverage sources

Desired Qualifications:

• Previous experience as a financial counselor with background in medical terminology preferred
• Understanding of State and Federal assistance

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit:r1rcm.com.

R1 RCM Inc. ("the Company") is committed to the principles of equal employment opportunity. The Company's practices and employment decisions, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is committed to providing a workplace free from harassment based on any of the foregoing protected categories.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

Keywords: R1 Revenue Cycle Management, Kokomo , Care Coverage Counselor - AH St Vincent Kokomo IN 1907 W. Sycamore Kokomo, Ascension - (Full Time, Evenings), Other , Kokomo, Indiana