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Requisition Number 17-0053
Post Date 12/6/2017
Title Patient Accounts Representative
Location Admissions
City Ocala
State FL
Position Type Part-Time (24 hours)
Work Hours 8:30 am - 5:00 pm Fri-Sat-Sun
Description JOB SUMMARY:
The Admissions Financial Counselor/Non Clinical assists patients in qualifying for Medicaid benefits and Hospice supportive care; explains and completes consents and all admission paperwork. Provides counseling services to patients and their families regarding the understanding and payment of their financial responsibility to Hospice.

Include the following. Other duties may be assigned.
• Assists families in completing the Medicaid application including gathering documentation.
• Communicates financial information on a timely basis for all Medicaid pending cases to Finance Billing and Collections department and admissions.
• Completes Hospice rate calculation worksheets after review of family finances and communicates completion to intake.
• Provides financial counseling to patients and their families, on an as-needed basis, and is responsible for communicating to the patient/caregiver any financial responsibility they may have regarding the care provided by hospice. Immediately identifies problems to manager.
• Completes special projects as assigned by Referral Coordinator.
• Maintains effective communication with Hospice Admissions Department, all Teams, Social Services/Bereavement Coordinator/Staff, Finance Department, Community Outreach Department and Community Agencies as relevant.
• Establish a professional relationship with Medicaid personnel at hospitals and with local nursing home business office. Setup system to handle evening and weekend N.H./SNF contracts. Logs communication activities and submits daily to admissions etc.
• Identifies Financial Counseling needs of patient/family unit and assists with follow-up referrals/support to meet those needs. Responsible for completion & interpretation of Healthcare surrogate, power of attorney or proxy.
• Completes documentation in an accurate and timely manner and submits all documents within 24 hours.
• Maintains current knowledge of Medicare /Medicaid benefits in relation to admissions procedures and qualifications for skilled nursing facilities (SNF/s), private insurance, supportive care, continuous care and in-patient requirements.
• Collaborates with hospital case managers or facility case managers to obtain proper documentation for HMC records.
• Educates patient and families by providing consultations about choices of care including hospital services and Transitions as well as our specialty programs as a back up to the Hospital Liaisons under the Admissions Coordinator’s direction and collaboration.
• Completes consents with appropriate patient, health care surrogate or power of attorney either at the time of consultation or when completing house contracts, DNR, insurance information and notifies Referrals Coordinator and team as appropriate.
• Responsible for the signing of SNF contracts and delivery to appropriate facility for signatures and provides copies of agreements to Finance.
• Discusses funeral arrangements and notifies Social Worker of information as well as appropriate team should the need arise.
• Cross trained in Intake process to provide backup as needed.
• Rotating week days, weekends and holidays to accommodate the department.
Requirements • Advanced education and/or business school training, concentrated in health care of medical fields preferred. Business or accounting experience helpful.
• Three (3) years experience in a medical environment performing billing and collection duties preferred.
• Experience providing financial counseling to individuals/families and dealing with people in stressful situations, i.e. state agency, hospital, medical clinic or insurance company preferred.
• Must have a valid Florida drivers License with no more than six (6) points for speeding or traffic violations for the past two years; maintain current auto insurance coverage and have access to a reliable automobile.
• Ability to quickly establish professional relationships with patients/families who are in difficult situations in a compassionate manner.
• Ability to work unsupervised in the field, exercising discretion and independent judgment.
• Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures and governmental regulations, as well as documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to write routine reports and correspondence.
• Ability to speak effectively before groups of customers, patients/families or employees.
• Knowledge of medical terminology and ability to demonstrate essential usage.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Ability to operate a facsimile, copy machines, computers and other common office machines, with working knowledge of MS Word, Outlook, Excel and other software appropriate to positions.
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