Penn Medicine Financial Counselor Self Pay in Philadelphia, Pennsylvania
Financial Counselor Self Pay
Job ID :90606
Job Category: Customer Service/Patient Access
Specialty Area: Customer Service/Patient Access
Primary Shift: Day
Work Schedule: Day
Penn Medicine Entity: Clinical Practices of the University of Pennsylvania
Location: Philadelphia, PA
Address: 1500 Market Street
Education Required: Per Position Description
Experience Required: Per Position Description
Employment Type: Full-Time Regular
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
Position Description :
Obtains all health plan requirements including referrals, precertification’s, medical authorizations and other insurance specific requirements to ensure financial secured reimbursements for the Hospital, Ancillary Services and the Department for surgical services. File and coordinate insurance appeals for procedures which require pre-day prior to surgery, inpatient admissions, medical necessities and clinical trials. Advises managers, physicians and hospital business office of all financial issues which may be problematic.
• Enforces Health System policies regarding financially securing patients through insurance plans, single payer agreements (SPAs), self-pay packages, applications for state-aid, or Charity Care.
• Implements improvement plans and follows through with UPHS and Insurance industry policies.
• Conducts daily review of problem accounts and provides resolution.
• Ability to accurately and consistently interpret and readily explain various healthcare insurance plan coverages, benefits and patient pay responsibilities.
• Accurately detect benefit exclusions and research alternative methods of payment
• Performance will make a direct impact on Department of Surgery and Hospital of University of PA reimbursement and bad debt performances.
Minimum Requirements :
Two to five years’ healthcare experience and/or education required. Preferably experience in physician practice, business office and/or financial area with demonstrated knowledge of third party carrier coverage and benefit guidelines is essential. Customer Service experience is required. Advanced training or Bachelors degree preferred.
Additional Information :
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Penn Medicine http://www.pennmedicine.org/careers/
Live Your Life's Work
We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
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