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Orlando Health

Financial Counselor Lead - Wiregrass Ranch Hospital - Wesley Chapel, Florida

Orlando Health, Wesley Chapel, Florida, United States, 33545

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Position Summary

Site:

FMCOH Wiregrass Ranch Hospital Location:

Wesley Chapel, Florida Position:

Financial Counselor Lead Department:

Patient Access - ER & Outpatient Registration Shift:

7:00am-3:30pm Elevating Healthcare in Wesley Chapel and West Florida, this state‑of‑the‑art, 380,000 sq‑ft hospital spans five stories with a capacity of 102 beds expandable to 300. It houses 9 advanced operating rooms, including a hybrid OR, and offers comprehensive care in cardiology, neurology, oncology, surgery, and more, engineered to meet evolving community needs with precision and compassion. Designed for Excellence

Opening with 102 beds, expandable to 300 beds at full build‑out 9 advanced operating rooms, including a hybrid OR with real‑time imaging capabilities sheen Comprehensive services in cardiology, neurology, oncology, surgery, and more Job Summary

The Financial Counselor Lead is a key position on the team that assists patients and families with the entire collection payments process, ensuring it is fully explained and as comfortable as possible. Responsibilities

Understands the importance Orlando Health places on providing exemplary customer service and performs job functions in a manner that helps meet the department customer service goals. Demonstrates a positive and professional approach and communicates effectively with customers and team members at all times. Identifies customer service issues and resolves or initiates necessary follow‑up, implementing service recovery efforts as appropriate. Gathers and accurately inputs patient/guarantor demographic and financial information. Explains necessary forms and obtains signatures from patient/guarantor. Contacts appropriate payers, verifying benefits and obtaining necessary authorizations. Utilдей appropriate reports to contact insurance payers for resolution to accounts that are pending, denied, or in the appeal process. Explains insurance benefits and collects co‑pays, deductibles and self‑pay portions due. Collects for related professional care as appropriate. Collects outstanding balances due from previous accounts or establishes payment arrangements for these balances as appropriate. Provides complete resolution to patients billing issues and questions. Contacts Primary Care or Admitting Physician to obtain authorizations, diagnosis, and procedure detail as necessary. Documents authorization and benefit information in registration system. Assembles patient record and obtains copies of relevant documents including insurance cards, photo ID cards and any advance directives. Demonstrates a thorough knowledge of third‑party reimbursement requirements and regulations. Exhibits thorough knowledge in the use of all registration and scheduling systems, electronic verification tools and web‑based resources. Follows Patient Financial Services self‑pay policies including completion of Guarantor Financial Statement Application, explanation of payment options and collections of monies due. Screens patient/guarantor for federal, state, county orertype assistance programs and completes necessary forms and applications per facility guidelines. Follows Patient Financial Services policies related to cash handling. Performs departmental cashiering functions and processes point‑of‑service transactions, including advanced cashiering functions. Collects and inventories patient valuables following policy guidelines. Maintains a thorough understanding of the medical necessity screening process and appropriate systems. Maintains a thorough knowledge of ICD‑10 and CPT codes. Performs pre‑registration functions, including calling physician offices, insuranceazen and the patient/guarantor, as necessary. Cross‑trained with appropriate knowledge and skills necessary to staff all areas of Patient Access at any facility, including Front Desk, Admitting Office, Cashier, Insurance Verification, Floor Representatives, Pre‑Registration, Scheduling and Emergency Department Business Office. Acts as a resource for training new team members. Serves as a resource during the implementation of new process improvements. Performs duties of a system super‑user. When performing scheduling functions, provides patients with thorough and accurate procedure information. Makes open communication with physicians and their offices, patients, all ancillary and surgical areas to coordinate scheduling, rescheduling and cancellations of single/multiple tests and procedures. Acts as liaison between Nursing, Ancillary, Scheduling, Case Management, Social Workers, Managed Care Companies, Physicians, Administration and Patient Accounting. Maintains departmental logs for statistical reporting Konsequent Works departmental reports as assigned. Exhibits thorough knowledge of the telephone system, scanners, printers, copy machine, fax machine, and paging systems. Consistently meets Quality Assurance standards set by Patient Access and the department. Meets departmental goals regarding collections, productivity and customer service. Maintains flexibility in work schedule availability to accommodate departmental needs. Meets federal, state and hospital compliance requirements. Attends and participates in department staff meetings and other assigned meetings. Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. Maintains compliance with all Orlando Health policies and procedures. Represents and participates in department, facility, Patient Financial Services and corporate committees. 澳洲யஇ

Qualifications

Education / Training

High School diploma or equivalent. Must complete Corporate and Patient Financial Services annual educational requirements. Experience

Two (2) years of experience in a financial, business office or customer service environment. Proficient in Microsoft Office (Word, Excel, PowerPoint). Typing OT proficiency. One (1) year of PC/Windows zo Mee experience.

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