FinancialCounselor

Your job is more than a job This job description is intended to describe the general nature and level of work performed by employees assigned to this department. This is not an exhaustive list of all duties and responsibilities, and LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. **_GENERAL DUTIES_** Financial: * Obtains necessary insurance information for patients. Answers questions or direct patients to appropriate staff members for questions regarding insurance, billing, payment and/or collection arrangements. * Performs financial counseling on all patients prior to treatment, which includes explaining financial obligations and estimated costs of therapies based on insurance benefit plans & billing processes, as well as developing payment arrangements with patient. Service: * Utilizes the summary of patient reimbursement and liability forms and obtain appropriate approvals as required. * Assist patients and families in exploring options for financial assistance. * Follows up with patients and families for financial assistance needs. * Works with patients and Patient Financial Services (PFS) to resolve account balance issues and establish payment plans. * Applies department processes for non-profit, community, pharmaceutical, federal, state and health system financial assistance programs. Implements knowledge of federal and state requirements for assistance to patients with an inability to pay. Quality: * Documents the financial counseling process, discusses the EMR and forwards necessary documentation to the central business office. * Assists physicians in determining approved regimens for treatment and ensuring that regimens are approved according to NCCN guidelines. * Processes, monitors and documents apps for various programs. * Demonstrates an understanding of the need for patient confidentiality to protect the patient and the institution. Follows all necessary HIPAA regulations to protect patient