Financial Counselor

Lompoc Valley Medical Center

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Job description

Salary Range: $19.74 - $27.21
Pay rates are determined based on experience and internal equity.
Position Summary:
• Verifies all patient identification documents, including patient identification, demographics, and financial information.
• Responsible for maintaining updated information on patient account until the procedure is performed. This includes insurance, authorizations, and specific procedure codes and services being provided.
• Clear understanding of patients' benefits based on payer and plan information
• Clear understanding of determine payer contractual reimbursement rate in order to provide accurate estimate of cost.
• Advises patient/guarantor of benefits and provides information on financial responsibility the patient/guarantor may have and collects prior to the procedure or visit.
• Explains services and facility policies regarding payment of hospital bill when able and applicable.
• Offers financial assistance, screens for patients for government programs, and LVMC Charity care guidelines when appropriate.
• Provides compassionate service to all patients and family members, so the patient has a clear understanding of their financial obligations.
• Serves as a contact person for staff regarding questions/issues/account resolution and works with other departments to contribute to account resolution and manage receivables
• Received incoming calls from patients, medical staff and any applicable third parties that are relative to the patient’s procedures and financial obligations.
• Ability to understand billing elements for timeliness, accuracy, and completeness to comply with contractual and regulatory requirements.
• Must work well with administrators, directors, managers, supervisors, and co-workers.
• Ability to prioritize workload to provide enough time for patients to understand their financial obligations and ask questions.

District Responsibility:
• Support of the District Mission and Values
• Demonstrate Respect, Professionalism and Courtesy to all patients, visitors, other providers and coworkers, as delineated in the LVMC “Commitment to Care”.
• Constantly use C-I-CARE principles when communicating with others.
• Performance Improvement Activities
• Professional Development

Position Duties/Responsibility:
• Working directly with patients to provide estimates of patient financial responsibility prior to services being rendered. These could include any services rendered at LVMC Acute and Clinics.
• Work with appropriate staff to gather and confirm all charges related to the upcoming procedure or appointment.
• Other duties assigned by supervisor

Essential Functions:
• Ability to use computer keyboard, telephone and insurance eligibility determination equipment
• Strong analytical and problem-solving abilities to identify issues and develop effective solutions.
• The ability to be supervised.
• The ability to work as a Team member.
• The ability to have positive personal interactions, excellent verbal, and written communication skills to convey project expectations and updates effectively.

Position Qualifications:
• Education: High School diploma or equivalent.
• Experience: Minimum 1 year of experience in an office, hospitality, or customer service environment.
• Experience: Minimum of 2 years of related work experience in a healthcare environment, with working knowledge of medical terminology.
• Skills/Ability: Excellent verbal skills required. Exhibits the ability to organize multiple assignments and follow through with accuracy. Exercises good judgment under stress. Demonstrates maturity, initiative, emotional stability, tact and poise.
• LVMC reserves the right to modify the minimum requirements depending on the needs of the organization.

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