Experienced Financial Counselor (Customer Services) - Remote

Are you a detail-oriented and customer-focused professional with a passion for delivering exceptional service? Do you have a strong background in financial counseling and a knack for resolving complex billing and insurance issues? If so, we invite you to join blithequark's dynamic team as an Experienced Financial Counselor (Customer Services) - Remote. In this critical role, you will play a vital part in ensuring that patients receive timely and accurate financial information, while also maximizing collections and resolving billing errors. As a key member of our Patient Financial Services team, you will interact with patients, families, visitors, nursing personnel, and medical staff to identify the most effective payment sources and provide timely referrals for government programs, including Medicaid and Charity Care.

About blithequark

blithequark is a leading healthcare organization dedicated to delivering exceptional patient care and promoting healthy communities. Our commitment to Total Wellbeing extends beyond our patients, with a comprehensive benefits package that supports the physical, emotional, financial, personal, career, and community wellbeing of our employees. As a member of our team, you will be part of a dynamic and supportive environment that fosters growth, innovation, and collaboration.

Key Responsibilities

As an Experienced Financial Counselor (Customer Services) - Remote, you will be responsible for:

• Ensuring that patients receive timely and accurate financial information, including insurance eligibility and benefits
• Creating estimates and upfront cash collections as needed
• Identifying the most effective payment sources, including patient payment and/or referrals for government programs
• Interacting with patients, families, visitors, nursing personnel, and medical staff to resolve billing errors and maximize collections
• Daily tasks include inpatient and observation patient accounts review, authorization and benefit determination, creating estimates and collecting point of service cash when appropriate
• Providing timely and appropriate referrals for various state medical assistance programs

Essential Functions

* Take actions that will support maximization of collection of balances due or account resolution from all sources

• Facilitate account resolution by accurately identifying, following up on, or correcting billing errors, lower than expected reimbursement, or denials for correction for submission or resubmission to patients and/or insurance carriers
• Timely identify, research, and resolution any issues that may cause delays in payment or account resolution
• Identify and recommend opportunities to improve collections and follow-up activities
• Work collaboratively across teams, with peers, and revenue cycle departments

Job Requirements

* High School Diploma or GED equivalent required within one (1) year of hire

• Candidates who do not possess a High School Diploma or GED equivalent will be provided the opportunity to enroll in a GED/HSEA program at time of hire as a condition of employment
• 4 years similar hospital billing or accounting experience
• Knowledge of Charity Care, Uncompensated Care, and Medicaid guidelines and regulations
• Knowledge of medical terminology and insurance verification preferred
• Candidate must be detail-oriented
• Computer experience required
• A minimum of three years insurance authorization/pre-certification experience required
• Knowledge of insurance, insurance verification, and TOS collections
• Prior experience in hospital admissions preferred
• Ability to communicate effectively
• Bilingual English/Spanish preferred

Preferred Qualifications

* Preferred experience includes insurance verification, cash collections, and obtaining Notices of Admission (NOA), with knowledge of insurance plans

Scheduling Requirements

* Full-time

• Occasional travel as needed to Monmouth Medical Center/Monmouth Medical Center Southern Campus/Community Medical Center/Hamilton
• Remote, Monday through Friday 1p-9p
• Rotating every other weekend (1pm-9pm Saturday and Sunday) and rotating holidays required

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Additional Information

At blithequark, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees' physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to:

• Paid Time Off including Vacation, Holidays, and Sick Time
• Retirement Plans
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Disability and Life Insurance
• Paid Parental Leave
• Tuition Reimbursement
• Student Loan Planning Support
• Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Community and Volunteer Opportunities
• Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon
• ….and more!

Total Rewards Package

At blithequark, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Equal Opportunity Employer

blithequark is an Equal Opportunity Employer committed to diversity and inclusion in the workplace. We welcome applications from qualified candidates of all backgrounds and perspectives.

How to Apply

If you are a motivated and customer-focused professional with a passion for delivering exceptional service, we invite you to apply for this exciting opportunity. Please submit your application through our website or by clicking on the link below. Apply to this job We look forward to welcoming you to our team! Apply for this job