Financial Counselor 8 HR.

Job description

Job #: 13893

Job Category: Patient Access

Job Type: Full Time

Shift Type: Days

Facility:

Department: Financial Counseling

Pay Range: $22.57/hr. - $30.33/hr.

Open Date:

Close Date:

Qualifications:

High School graduate or equivalent required

Two years of hospital experience and working knowledge of all patients accounting functions, including pre-admissions and admission registration

Demonstrated experience in credit, collection and billing is required, preferably in a hospital setting

Knowledge of medical and insurance terminology is required

Ability to type 45 WPM

Job Details:

Start Date:

Open Until Filled.

Qualifications:

High School graduate or equivalent required

Two years of hospital experience and working knowledge of all patients accounting functions, including pre-admissions and admission registration

Demonstrated experience in credit, collection and billing is required, preferably in a hospital setting

Ability to interpret billing manuals, insurance and/or other third-party coverage

Understanding of the third-party review process

Understanding of payer funding and authorization procedures to ensure payment

Understanding of government/state payers, including eligibility factors

Knowledge of medical and insurance terminology is required

Ability to type 45 WPM

Must be proficient in the use of office machines, including computers

Must have excellent interpersonal and telephone skills

Must have effective written and verbal communication skills

Must posses patient interview techniques

Must obtain the ability to prioritize workload and possess ability to meet tight time frames

Must obtain the ability to work under minimal supervision, is detail oriented and possess problem-solving skills

Must be able to withstand a frequent amount of working at a computer terminal

Must obtain the ability to concentrate on detail in the middle of other activities

Duties &

Responsibilities:

Job Summary

The Financial Counselor performs the quality control function for inpatient accounts, outpatient surgeries and outpatient radiology, ensuring all pertinent information is available and accurately documented, allowing for timely and efficient billing. These activities include generating weekly status reports, communication with multiple departments, monitoring accounts for proper documentation of third party review notification, authorizations, insurance verifications, collection of deposits and self pay balances, securing reimbursement methods of non-insured admits, computer update of accounts and the collection of verification of relevant patient data.

Duties

Follows policy and procedures in regard to financial screening, arrangements and third-party demands

Verifies and assures all accounts are ready for billing with adequate supporting documentation, within the established time frames

Serves as support to patients and their family members to assure customers have access to all available funding, this involves; working with private as well as governmental agencies; i.e., private insurance, HMO/PPO's, Medi-Cal, Medicare, Champus and Worker's Compensation

Initiates and completes charity applications on accounts at risk for completing Medi-Cal application requirements and installment agreements

Maintains daily contact with Utilization Management, Business Office, Patient Registration, Medical Records, Ancillary departments, various third-party agencies, HMO/PPO's, patients, their families, physicians, offices and other outside entities

Reviews financial data to determine possible Medi-Cal eligibility and verifies with POS/AEVS

Assists patients in completing State and county medically indigent application forms and schedules appointments for patients with on-site County eligibility worker

Determines possible eligibility for charity assistance, Charity Policy, Proposition 99 Funding, and SB12

Prepares accounts for Supervisor's approval

Bills appropriate state or federally funded programs and follows required procedure for patient eligibility and/or transfer

Determines patients ability to pay and secure repayment arrangement with patient, according to Oroville Hospital established polices

Provides comprehensive audit and analysis

Updates all inpatient, outpatient, and surgery accounts to ensure completeness and accuracy

Exercises problem solving skills independently and update system to resolve any patient account delay

Monitors appropriate turn around on all accounts to ensure the business office within established time frames receives accounts

Assures proper financial classification, determines proper guarantor and updates system accordingly

Verifies Medicare eligibility utilizing DDE for appropriate coverage relation to service to be rendered

Identifies if an HMO or Hospice is managing Medicare benefits

Performs third-party certification/verification on Medicare HMO accounts

Verifies Medi-Cal coverage for other coverage and restricted services

Investigates Medi-Cal overage for other coverage and restricted services

Obtains needed authorization for scheduled Medi-Cal accounts requiring 50-1 and forwards to Utilization Management when received

Always handles all patient/family contact in a courteous, professional manner

Consistently interacts with sensitivity to patients/their families and is responsive to individual needs

Receives and places telephone calls in a skillful manner using appropriate etiquette

Handles all telephone requests with courtesy, accuracy and respect for confidentiality

Provides estimates for procedures to patients, physicians' offices, and payers as requested

Consistently follows/reviews third-party guidelines for review notification and contract coding of patient accounts

Alerts Supervisor/Director to patterns in problem areas in order to initiate situation resolution

Alerts Supervisor if extended payment arrangements are needed to obtain approval from UM Director

Reviews each account for specific third-party billing requirements, including necessary document for prompt billing

Coordinates necessary activities with external review agents to ensure timely receipt of all third-party certification required for billing

Review account to assure that all third-party identification codes are used correctly according to documentation in computer system

Staff resource to hospital departments for information related to documents and other information necessary for billing

Contacts referring provider in a timely manner if needed authorization is not initiated on scheduled accounts

Utilizes UM Department as a resource for scheduled accounts when authorization cannot be obtained prior to service to determine medical urgency

Reviews daily pre-op, surgery and outpatient schedules generated to ensure account information is complete prior to services rendered

Obtains necessary referrals, authorization and pre-certifications as needed

Obtains patient demographic data not captured during scheduling process, which is necessary for claims processing

Determines co-pay, share of costs and deductible status using information obtained during verification process

Contacts patient prior to service to advise of Oroville Hospital's policy regarding co-pay and prepares installment agreement, if needed

Documents accounting in billing revisions and notes to include verification, authorization, and co-pay to be collected by Patient Registration Representatives at time of procedure

Forwards all needed paperwork for outpatient procedures to Patient Registration Representatives to be added to account folder to ensure timely billing

Completes and submits a weekly cash collection report

Completes and submits a weekly productivity report

Demonstrates commitment to total quality management through knowledge of its precepts, skillful workplace applications and continuous organizational improvement

Exhibits a customer/supplier philosophy that emphasizes both internal and external relationships

Identifies both customer and supplier needs/expectations and strives to exceed them

Actively participates in and encourages others to utilize creative and innovative approaches to accomplish tasks

Demonstrates responsibility for ongoing personal development, professional growth and continuing education

Performs duties in a self-directed manner with minimal supervision or direction

Ensures that routine and priority tasks are completed within established departmental time frames

Demonstrates a clear understanding of and consistently adheres to department and facility policies and procedures

Attends and actively participates in department and facility meeting and classes, including annual fire, safety and disaster programs

Follows safety procedures, operates equipment and performs job related duties in a safe manner which prevents accidents from occurring

Performs other duties as assigned

Other Info:

Lifting Requirement: This position requires repetitive motion (i.e. bending, stooping, twisting, walking, standing, sitting, reaching overhead, pulling or pushing). Manual dexterity required.

Sedentary- generally not more than 10 lbs. maximum and occasionally lifting and/or carrying such articles as ledgers, files and small items.

Job Posted:

07/22/2026

Worksite address

oroville, CA, 95965, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.