Financial Counselor II

Job Ref: 20162
Category: Clerical & Administrative Support
Emerson Hospital, 133 Old Road to Nine Acre Corner, Concord, MA 01742

Department: Patient Access
Schedule: Full Time
Shift: Day shift
Hours: 8:00am-4:30pm

Job Summary
Reports to the Direct of Patient Access, the position serves as the hospital`s primary contact for patient reimbursement issues in accordance with established credit policies. The position works with third-party payors for necessary authorizations and verification of coverage issues. The position also provides cashiering services for Emerson Hospital and support to the physicians, NP’s, PA’s, RN’s and genetic counselors in the Shared Specialty suites.
Minimum Qualifications
  • High School Diploma or equivalent required.
  • Associates Degree preferred.
  • Work experience may be substituted for higher education.
  • One to 3 years as a financial counselor at a hospital and/or authorization coordinator required
  • Knowledge of insurances, pre certification and referral procedures required
  • Knowledge of the Virtual Gateway and Medicaid applications preferred
  • Experience in working with patients required
  • Experience in working with payers to appeal pre auth denials preferred
Licensure and/or Certification
  • None required
  • Knowledge of third party payors.
  • Knowledge of Medicare billing practices and regulations.
  • Insurance verifications experience.
  • Computer proficiency.
  • Excellent interpersonal skills are required to interact effectively with all organizational levels, with demonstrated organizational skills
  • and ability to work accurately with detailed confidential information.
  • Must have the ability to read, write and communicate in English.
  • Must be highly organized, cooperative, and able to work well with others.
  • Ability to prioritize and perform multiple tasks.
  • Thorough understanding of team management concepts.
  • Comprehensive knowledge of medical terminology.
  • The ability to effectively communicate with external organizations as well as various levels of management required.