Financial Counselor Senior - Adult Outpatient Pavilion

Essential Job functions:

• Performs all aspects of the Financial Counselor position, including:

• Handling all business functions including registering patients by securing appropriate patient and insurance information; ensuring that registration data is correct and accurate; validating insurance eligibility; collecting co-payments; and entering information into appropriate systems.

• Interviewing patients/guarantors to obtain all necessary account information, to include assessment of eligibility for financial assistance, Medicaid referral services, Affordable Care Act enrollment, and Governor Access Plan.

• Explaining process and forms to patient/guarantor and obtaining patient/guarantor signatures on required financial forms.

• Creating estimates, establishing payment arrangements, and collecting payments.

• Verifying all insurance and obtaining pre-certification/authorization.

Directly supports the supervisor in completing multiple administrative responsibilities to include task schedule of financial counselors, PAR reporting to include POS collections and productivity, and compiling additional data such as floor visits.

Effectively works within the health system's Revenue Cycle software, assists team members in working accounts, and escalates accounts to leadership as appropriate.

Responsible for orienting and training new hires to service area.

Notifies supervisor, immediately, of issues involving violation of VCUHS policies or procedures.

Ensures responsibility and visible commitment of diversity equity and inclusion strategy, programs, and initiatives through collaboration and implementation of initiatives across the health system.

Performs other duties as assigned and/or participates in special projects to support the mission of VCU and VCUHS. Provides assistance to team members. Accepts alternate assignments, as required graciously.

Patient Population:

Not applicable to this position.

Employment Qualifications:

Required Education:
High School Diploma or equivalent

Preferred Education:

Associate degree in Accounting, Finance, Business Administration, Healthcare Administration or closely related field from an accredited program

Licensure/Certification Required: N/A

Licensure/Certification Preferred: N/A

Minimum Qualifications:

Required Qualifications:

Minimum of one (1) year of Financial Counselor experience or two (2) years of Patient Access experience.

Other Knowledge, Skills and Abilities Required:

Ability to problem solve and take appropriate action when necessary.

Ability to function in a self-directed manner to accomplish routine activities.

Proven customer service skills.

Cultural Responsiveness:
Demonstrates a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.

Other Knowledge, Skills and Abilities Preferred: N/A

Working Conditions:

Periods of high stress and fluctuating workloads may occur.

General office environment.

May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.

May have periods of constant interruptions.

Physical Requirements:

Physical Demands: Lifting/ Carrying (0-50 lbs); Push/Pull (0-50 lbs.)

Work Position: Sitting, Walking, Standing

Additional Physical Requirements/ Hazards:

Physical Requirements:

Repetitive arm/hand movements

Finger dexterity

Mental/Sensory - Emotional:

Mental/Sensory: Strong Recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical Thinking

Emotional: Fast-paced environment, Steady Pace, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent change

Operates as lead over the Financial team including Financial Clearance.

Must be able to problem solve and take appropriate action when necessary to make referrals to outside resources.
Ability to analyze financial data to determine documents needed for application approval and/or to establish appropriate payment arrangements.
Performs daily activities with minimal supervision.
Functions in a self-directed manner to accomplish routine activities.
Notifies Management immediately, of issues involving violation of VCUHS policies or procedures.

EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.