Job description
Navigating the finances of healthcare is an overwhelming endeavor. Financial Counselors (FCs) will help patients navigate and understand this arena, in so doing, will reduce stress around the financial responsibility of their episode of care. This role is also critical for maintaining the financial health of the organization, by managing front-end insurance and revenue cycle processes. Under minimal supervision, FCs will review patient's financial state, counsel patients on their out-of-pocket cost for their treatment plan, advise on insurance optimization options, and connect patient to financial assistance programs available to them. FCs will also perform any medical necessity reviews for treatment, prior to treatment, and work closely with the central authorization team to ensure the coordination of the medical necessity and authorization process. For off-label usages, FCs will be the point person for the appeal process and work towards a solution with the clinical team and payer. FCs will be the point person for the clinical team regarding financial implications of their patient's care. FCs must be critical thinkers, who are skilled at problem solving and thinking through complex situations.
EDUCATION/EXPERIENCE REQUIRED:
- Bachelor's degree or five plus (5+) years of experience in related field required.
- Experience in healthcare billing or related field required. In-depth knowledge of health insurance required.
- Pharmacy Tech Experience preferred. Proficiency in EPIC applications such as Appointment Scheduling (all versions), Registrations, Work Queues and Referrals, preferred.
- Customer service-oriented including the ability to interact professionally and handle sensitive information/issues in a confidential, respectful, assertive, and empathetic manner in difficult interpersonal situations.
- Acts in a manner that establishes positive rapport with patients, families, and public/private financial assistance programs.
- Ability to quickly assess and respond appropriately to emergency situations. Ability to comprehend medical terms.
- Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles, and in-depth experience in multi-tasking.
- Ability to deliver consistent results and possess the drive to continually improve processes to benefit the patient and the hospital system.
- Ability to visually proofread typed work for errors.
- Ability to communicate via telephone to a variety of groups (patients, patients' families, insurance companies, other departments, etc.).
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a
$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites
including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and
other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system
now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one
of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the
health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s
major academic medical centers, receiving between $90-$100 million in annual research funding and
remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
pharmacists, radiology and respiratory technicians. visit HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Henry
Ford Health has a new approach for its employee benefits program - My Choice
Rewards. My Choice Rewards is a program as diverse as the people it serves. There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.
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