Patient Financial Counselor Authorizations CBCI in Denver, Colorado, United States
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Presbyterian/St. Luke's Medical Center

Patient Financial Counselor Authorizations CBCI

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Description

SHIFT: No Weekends
SCHEDULE: Full-time
Hourly Wage Estimate: $18.50 - $25.90 / hour
Learn more about the benefits offered for this job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Sign-On Bonus opportunity up to $2,500.00 for qualified candidates

Do you want to be a part of a family and not just another employee? Are you looking for a work environment where diversity and inclusion thrive? Submit your application today and find out what it truly means to be a part of a team.

We are seeking a Patient Financial Counselor to ensure that we continue to provide all patients with high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now!

We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity.

Healthcare Corporation of America (HCA) is a community of 94,000 Registered Nurses and 38,000 active physicians. We have over 1,900 facilities ranging from hospitals, freestanding ER’s, ambulatory surgery centers, and urgent care clinics. Our facility based staff continues to raise the bar in patient care. Ten HCA hospitals have been named in IBM Watson Health’s top 100 best-performing hospitals based on patient satisfaction and operational data. 

 

Presbyterian St. Luke’s Medical Center, located in the Uptown neighborhood in Denver, CO and licensed for 680 beds, PSL provides the most advanced care for patients across the Rocky Mountains and Great Plains. We are proud to serve our community with experienced physicians who offer a wide range of medical services for patients of all ages.

Blood Cancer and Stem Cell Transplant Experts – Welcome to the Colorado Blood Cancer Institute (CBCI) , a part of the Sarah Cannon Cancer Institute at Presbyterian/St. Luke’s Medical Center. Our specially trained hematologists are committed to advancing science and care for patients with blood cancers such as leukemia, lymphoma and myeloma. Having performed more than 4,400 transplants, Colorado Blood Cancer Institute is the largest and most experienced full-service blood and marrow (stem cell) transplant program in Colorado and among the top programs in the country. CBCI is accredited by the Foundation for Accreditation of Cellular Therapies (FACT), the global standard for top quality patient care in cellular therapies. We work closely with our physician colleagues from New Mexico to Montana to provide patients with nationally recognized care and access to the most innovative clinical trials.

 

What sets us apart?


• Our physician team has more than 150 years of combined experience in treating blood cancers
• Multidisciplinary teams work together to provide the best treatment plan for you
• All of your care is provided in one, convenient location
• Care options tailored to each patient
• Access to innovative Clinical trials
• Our commitment to patient safety and providing outstanding care to every patient


Colorado Blood Cancer Institute (CBCI)
 
Position Summary: Under general supervision, evaluates medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-9-CM), and the American Medical Association’s Current Procedural Terminology manual (CPT); provides technical guidance and training on medical coding to physicians and staff; and performs related duties as required. Reviews patients' insurance benefits with them, explains co-pay responsibility, obtains prior authorizations for procedures/medications, enters patient charges. Job duties include:
• Registers all patients in the financial software and updates information as necessary
• Establishes contract and payment plan with self-pay patients
• Serves as an advocate for patients/families in regards to resolutions of ethical dilemmas
• Uses appropriate patient feedback and refers patients to other Ability to Pay or CICP programs when need arises (undocumented, no income)
• Data entry for hospital billing of Medicare and Medicaid patients into billing system
• Verify insurance of patients and enter information into financial software
• Reviews patient insurance information with patient and explain co-pays and coverage for treatment, procedures and medications
• Obtains prior authorizations from insurance companies for treatment, procedures and medications
• Participates in grants, drug replacement, drug assistance, and other financial assistance programs to assist patients in need.
• Receives and review charge documents from clinic
• Ensures that charge information provided is complete and accurate
• Evaluates medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the outpatient visit, and to ensure that data comply with legal standards and guidelines
• Interprets medical information such as diseases or symptoms, and diagnostic descriptions and procedures for a given visit in order to accurately assign and sequence the correct ICD-9-CM and CPT codes
• Evaluates records and prepares reports on such topics such as number of denied claims or documentation or coding issues.
• Demonstrates understanding of the copy machine, fax machine, and phone system.
• Aware of patient's right to privacy and questions, when needed, regarding release of information.
• Demonstrates the ability to work independently.
• Communicates work status to the Front Office Supervisor on a daily basis. Immediately informs the Front Office Supervisor of any backlogs, delays, or problems.
• Assists in other Front Office functions as needed.
• Other duties to be assigned as necessary.
• Answers telephone inquires and interacts with colleagues in a professional manner.

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply. We promptly review all applications. If you are highly qualified you will hear from one of our managers. Come unlock the possibilities and apply today!
 

Qualifications - External

Position Requirements

Licensure:

  • Certification/Registration: None

    Education:
  • College degree in business or health care field preferred.

    Experience:
  • Two years’ experience in medical record coding and financial counseling
  • Special Qualifications:
  • Excellent understanding of medical terminology. Knowledge of Word and Excel required. Strong organizational and critical thinking skills. Able to communicate effectively with patients, families, physicians, and other health care team members. Able to function as a part of a multidisciplinary team to ensure quality patient care.

    Do you want to be a part of a family and not just another employee? Are you looking for a work environment where diversity and inclusion thrive? Submit your application today and find out what it truly means to be a part of a team.

    We are seeking a Patient Financial Counselor to ensure that we continue to provide all patients with high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now!

    We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity.

    Healthcare Corporation of America (HCA) is a community of 94,000 Registered Nurses and 38,000 active physicians. We have over 1,900 facilities ranging from hospitals, freestanding ER’s, ambulatory surgery centers, and urgent care clinics. Our facility based staff continues to raise the bar in patient care. Ten HCA hospitals have been named in IBM Watson Health’s top 100 best-performing hospitals based on patient satisfaction and operational data. 

     

    Presbyterian St. Luke’s Medical Center, located in the Uptown neighborhood in Denver, CO and licensed for 680 beds, PSL provides the most advanced care for patients across the Rocky Mountains and Great Plains. We are proud to serve our community with experienced physicians who offer a wide range of medical services for patients of all ages.

    Blood Cancer and Stem Cell Transplant Experts – Welcome to the Colorado Blood Cancer Institute (CBCI) , a part of the Sarah Cannon Cancer Institute at Presbyterian/St. Luke’s Medical Center. Our specially trained hematologists are committed to advancing science and care for patients with blood cancers such as leukemia, lymphoma and myeloma. Having performed more than 4,400 transplants, Colorado Blood Cancer Institute is the largest and most experienced full-service blood and marrow (stem cell) transplant program in Colorado and among the top programs in the country. CBCI is accredited by the Foundation for Accreditation of Cellular Therapies (FACT), the global standard for top quality patient care in cellular therapies. We work closely with our physician colleagues from New Mexico to Montana to provide patients with nationally recognized care and access to the most innovative clinical trials.

     

    What sets us apart?


    • Our physician team has more than 150 years of combined experience in treating blood cancers
    • Multidisciplinary teams work together to provide the best treatment plan for you
    • All of your care is provided in one, convenient location
    • Care options tailored to each patient
    • Access to innovative Clinical trials
    • Our commitment to patient safety and providing outstanding care to every patient


    Colorado Blood Cancer Institute (CBCI)
     
    Position Summary: Under general supervision, evaluates medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-9-CM), and the American Medical Association’s Current Procedural Terminology manual (CPT); provides technical guidance and training on medical coding to physicians and staff; and performs related duties as required. Reviews patients' insurance benefits with them, explains co-pay responsibility, obtains prior authorizations for procedures/medications, enters patient charges. Job duties include:
    • Registers all patients in the financial software and updates information as necessary
    • Establishes contract and payment plan with self-pay patients
    • Serves as an advocate for patients/families in regards to resolutions of ethical dilemmas
    • Uses appropriate patient feedback and refers patients to other Ability to Pay or CICP programs when need arises (undocumented, no income)
    • Data entry for hospital billing of Medicare and Medicaid patients into billing system
    • Verify insurance of patients and enter information into financial software
    • Reviews patient insurance information with patient and explain co-pays and coverage for treatment, procedures and medications
    • Obtains prior authorizations from insurance companies for treatment, procedures and medications
    • Participates in grants, drug replacement, drug assistance, and other financial assistance programs to assist patients in need.
    • Receives and review charge documents from clinic
    • Ensures that charge information provided is complete and accurate
    • Evaluates medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the outpatient visit, and to ensure that data comply with legal standards and guidelines
    • Interprets medical information such as diseases or symptoms, and diagnostic descriptions and procedures for a given visit in order to accurately assign and sequence the correct ICD-9-CM and CPT codes
    • Evaluates records and prepares reports on such topics such as number of denied claims or documentation or coding issues.
    • Demonstrates understanding of the copy machine, fax machine, and phone system.
    • Aware of patient's right to privacy and questions, when needed, regarding release of information.
    • Demonstrates the ability to work independently.
    • Communicates work status to the Front Office Supervisor on a daily basis. Immediately informs the Front Office Supervisor of any backlogs, delays, or problems.
    • Assists in other Front Office functions as needed.
    • Other duties to be assigned as necessary.
    • Answers telephone inquires and interacts with colleagues in a professional manner.

    If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply. We promptly review all applications. If you are highly qualified you will hear from one of our managers. Come unlock the possibilities and apply today!
     

    Qualifications - External

    Position Requirements

    Licensure:

  • Certification/Registration: None

    Education:
  • College degree in business or health care field preferred.

    Experience:
  • Two years’ experience in medical record coding and financial counseling
  • Special Qualifications:
  • Excellent understanding of medical terminology. Knowledge of Word and Excel required. Strong organizational and critical thinking skills. Able to communicate effectively with patients, families, physicians, and other health care team members. Able to function as a part of a multidisciplinary team to ensure quality patient care.

*Internal candidates are ineligible for sign-on bonus opportunities

Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.

For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

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COVID-19 Vaccination

In compliance with local mandates, this role MAY require you to have received the first dose of a two-dose COVID-19 vaccination series (or a one-dose COVID-19 vaccination) by December 6, 2021, or to have applied for a medical or religious exemption. (For further clarification, please ask your recruiter.)

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HCAhrAnswers at 1-844-422-5627 option 1.

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