'We are seeking a Financial Counselor who operates under general supervision of the GYN/OB Sr. Production Unit Manager and Senior Nursing Director of Women's Services, the Senior Financial Specialist as well as the director for OB ultrasound and the Center for Fetal Therapy. The specialist serves as the primary point of contact for the Division of Maternal-Fetal Medicine and the Center for Fetal Therapy. The specific assignment is the determination of third-party coverage services and obtaining insurance authorization for patients cared for in the Prenatal Diagnosis and Treatment Center (including Obstetric Ultrasound, Fetal Assessment Center and Prenatal Genetics) and the Center for Fetal Therapy.
Critical to this position is the ability to obtain and verify financial and insurance information of patients presenting for care for the above noted departments, including benefits, authorizations and referrals.
Specific Duties & Responsibilities
The specialist is required to determine patient financial responsibilities prior to time of service and is the point of contact informing patients of their authorization status, and self-pay responsibilities for both JHU and JHH.
Critical to this position is the ability to effectively negotiate coverage and approvals with third party payers, requesting physician assistance for those cases denied coverage for medical appropriateness and disseminates authorization documents to appropriate department and hospital staff.
Act as a resource person for insurance guidelines for both clinic, billing and registration staff providing updates as appropriate. This also requires to keep current on all new policy changes for insurance, HMOs and to implement changes and monitor for compliance.
Handle special projects from billing managers.
Evaluate past due accounts and rejections from billing for appeal, write-off, collections agency and legal action.
Counsels patients regarding general insurance benefits and benefits specific to their care and billing issues.
Maintains informational financial folder for each obstetrical patient.
Obtains referrals and authorizations as needed for treatment.
Posts financial information in the system when appropriate.
Checks clinic patient schedules for referral and authorization needs.
Follow up on rejections and accounts receivable for the obstetrical patients.
Resolve issues related to registration, authorization, rejections and other billing problems.
This position requires excellent communication skills coupled with patience and fortitude.
Works as team member and positively accepts change throughout the Health System while establishing relationships at all facilities.
Required to be familiar with each institution's computer environment and payer contracts as needed.
High School Diploma or GED
2-3 years related medical office, hospital, medical call center or similar customer service environment.
Certification on host systems as appropriate. Certification to be obtained during 120-day introductory period.
Final applicant for this position may be required to complete skills assessments appropriate to position description.
Technical training or AA
1 year of specific Obstetrical knowledge
Additional education beyond minimum experience qualifications may substitute for required experience to the extent permitted by the JHU equivalency formula.
Special Knowledge Skills & Abilities
Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.
Able to sit in a normal seated position for extended periods of time.
Able to reach by extending hand(s) or arm(s) in any direction.
Finger dexterity required, able to manipulate objects with fingers rather than entire hand(s) or arm(s), e.g., use of computer keyboard.
Able to communicate using the spoken and written word.
Able to see within normal parameters and to hear within normal range.
Able to move about.
Able to lift minimum weight, 10 lbs.
Classified Title: Financial Counselor Working Title: CO Financial Counselor Role/Level/Range: ATO 40/E/02/OC Starting Salary Range: $15.00 - $19.90/Hr (Commensurate with experience) Employee group: Full Time Schedule: Monday - Friday, 8:30 am - 5:00 pm Exempt Status: Non-Exempt Location: School of Medicine Campus Department name: SOM OB GYN Production Unit Billing Personnel area: School of Medicine
Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:
30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
The successful candidate(s) for this position will be subject to a pre-employment background check.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the Talent Acquisition Office at email@example.com. For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit accessibility.jhu.edu.
The following additional provisions may apply, depending on campus. Your recruiter will advise accordingly.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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