Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.
Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.
To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.
Summary:
We are searching for a Financial Counselor -- someone who works well in a fast-paced setting. The Financial Counselor works with financial institutions and foreign hospitals to secure financial coverage for patients. Additionally, the Financial Counselor may be utilized as overflow coverage and is accountable for responsibilities outlined in the respective job description.
Candidates that have the following experience and skills are encouraged to apply!
Managing PBM reimbursement in the pharmaceutical industry
Maintaining documentation and submissions for PBM/340 audits
Resolving complex billing issues and rejection codes for third party claims and prior authorizations
Serving as a liaison to specialty pharmacy team for appropriate claims processing and adjudication
Strong written and verbal communication skills
Strong analytical and financial analysis skills
Ability to build and maintain strong relationships internally and externally
Think you’ve got what it takes?
Responsibilities :
Performs insurance verification, determines primary, secondary, and tertiary payers and follows up on inpatient and outpatient accounts throughout the entire course of treatment
Provides International Patient Services with an estimate for both physician and facility charges prior to visit based on information provided by the International Patient Services
Meets with the family regarding their financial status to determine potential assistance for third party coverage in a timely and sensitive manner
Makes every effort to minimize the loss of reimbursement for both inpatient and outpatient visits by securing coverage prior to discharge (unscheduled admissions) or during the patient’s visit
Maximizes collections by reviewing the schedule of pre-admissions and contacting the family or guarantor with the estimated liability portion due at the time of admission
Monitors and evaluates the specific responsibilities of a Financial Counselor to identify key services and processes that have potential for improvement in outcomes, reducing the number of defects and increasing customer satisfaction
Provides required documentation in the patient’s chart, including signed forms such as general consent, information release, advanced care directives, and other documents required by JCAHO and other regulatory bodies, and obtains required signatures
Evaluates patient for applicable advanced care directive and documents existence of, or referral to Social Services for additional assistance
Qualifications:
High school diploma or GED required
Bachelor’s degree with an emphasis on business preferred
2 years related experience preferred
Thank you for your interest in applying for this job position.
Texas Children’s is excited to announce that we are transitioning to a new applicant tracking system. During this transition, from April 11-17, 2016 our application functions on our Careers website will be temporarily deactivated.
We sincerely apologize for this inconvenience. Visit us on Monday, April 18, 2016 to check out our new features and apply!