
Dedicated and detail-oriented Patient account representative/Financial Access Counselor with 24 years of extensive experience in coordinating patient accounts, facilitating financial assistance, and ensuring compliance with State and Federal regulations. Skilled at delivering exceptional customer service to patients, families, and third-party payers, while navigating complex financial systems to minimize financial loss for patients and the hospital. Proficient in utilizing electronic eligibility systems, collaborating with multidisciplinary teams, and maintaining a patient-centered approach during challenging situations. Adept at problem-solving, trend analysis, and developing solutions that improve patient satisfaction and optimize account resolution.
The Patient Financial Access Counselor is responsible and accountable for coordinating the activities of the patient account from the point of initial contact through account resolution. This position will be the point of contact for our patients and will be able to provide services at all points of entry. Works closely with the patients, families, outside departments and third party payers to ensure compliance to individual requirements to expedite the timely collection of the accounts receivable and protect the patient and the Hospital from unnecessary financial loss. Is knowledgeable of various third party benefits and is proficient in understanding the electronic eligibility systems in order to educate patients of their benefits and attempt to collect balances due. Works independently and under varying circumstances to address the specialized needs of our self-pay, underinsured and undocumented resident patient population to identify resources for assistance that will protect the patient and the Hospital from unnecessary financial loss. Responsible to initiate the financial assistance application and navigate the patient through the process until resolution. This position is responsible for the effective outcome on accounts, being proficient and up to date in State and Federal regulations in order to successfully navigate various Social Service agencies (i.e. the Department of Social Services, Social Security, etc.) to expedite prompt resolution from the point of initial contact through final determination. Working in collaboration with the Care Management and Social Work Departments, this position formulates solutions to respond to non-clinical customer requests, resolving issues and obstacles while meeting the changing demands and priorities of the hospital and third party environments. Also responsible to identify trends and offer solutions to improve customer satisfaction and ensure a positive patient experience under sometimes difficult and life changing situations. Is proficient in all areas of In Patient Access including Emergency Department registration
Customer Service & Patient Relations: Compassionate and professional in guiding patients through financial processes during life-changing circumstances
Financial Account Management: Expertise in managing patient accounts from initial contact to resolution, including billing, reconciliation, and collections
Insurance & Eligibility Expertise: Proficient in understanding third-party benefits, using electronic eligibility systems, and educating patients about coverage
Regulatory Compliance: Knowledgeable of State and Federal regulations and skilled in navigating Social Service agencies for financial assistance
Collaboration & Problem-Solving: Proven ability to work with Care Management, Social Work departments, and external agencies to resolve patient financial concerns
Technical Proficiency: Experienced in In-Patient Access systems, registration, and other healthcare financial platforms
Organizational Skills: Strong multitasking and time management abilities in a fast-paced environment with attention to detail