Self-Pay Financial Counselor

Responsibilities:

• Monitor billing updates received in the Billing Department’s EPIC WQ(s) or on spreadsheets from a variety of sources.
• Monitor the billing work flow and look for opportunities to streamline policies and procedures to improve the first pass rate.
• Communicate to the Billing Manager any returned bills that have additional errors or cannot be billed.
• Assist with resolving issues appearing on the various EPIC WQ’s to decrease current and future billing deficiencies.
• Work with various embassy & agency representatives to generate, verify, and submit the Statement of Accounts.
• Troubleshoot issues.
• Monitors tasks to improve billing practices and increase revenue.
• Takes all steps necessary to resolve issues in a timely manner.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Notifies Billing Manager of issues that cannot be resolved in a timely manner.
• Keeps updated on all third-party billing requirements and changes.
• Acts at all times with integrity and high ethical standards in accordance with UPHS’s code of conduct policies.
• Possesses the talent to identify, analyze and solve problems that prevent timely and accurate billing.
• Continually looks for creative approaches to providing or improving services and patient satisfaction.

Credentials:

• AAHAM Certified Revenue Cycle Specialist - Institutional preferred.
  

Education or Equivalent Experience:

• H.S. Diploma/GED required.
• 4+ years medical billing experience required.
• Experience in handling billing and account receivables in a similar set up or related field required.

Skills & Abilities:

• Ability to establish priorities, work independently, and proceed with objectives with minimal supervision.
• Excellent communication skills required both oral and written.
• Excellent interpersonal skills to effectively interact with all levels of Patient Accounting Management, third party payors and external agencies.
• Knowledge of ICD-10 Diagnosis Codes / CPT Codes.
• Ability to understand accounting terminology.
• Knowledge of medical terminology and billing practices.
• Proficiency in Microsoft Professional Office software and comprehensive knowledge of personal computer operations.
• Must be able to accept responsibility and work under pressure.
• Proficiency in Epic Hospital and Professional Billing applications preferred.