The Financial Counselor provides guidance to patients in all aspects of their financial responsibilities that result from acceptance of the facility’s services. The Financial Counselor works with the patient to complete the pre-registration process. The Financial Counselor assesses the patient’s financial liability, determines ability to pay, advises patient on insurance benefits, explains financial liability, collects payment, negotiates payment arrangement, secures financing, identifies funding sources and resolves any confusion the patient may have about their financial obligations to the facility.
The Financial Counselor is responsible for the accurate and timely verification of insurance benefits, to include: contacting patients and/or guardians to obtain additional insurance information, researching and maintaining an ongoing collective knowledge of HMO, PPO, Medicaid, Medicare, and commercial insurance reimbursement rates and criteria, evaluating plans to calculate and estimate the patient’s out of pocket charges, collecting any co-pays, co-insurance, deductibles, etcetera and exploring patient’s financial circumstances to ensure fair and reasonable repayment terms.
The Financial Counselor is accountable for obtaining pre-certification/pre-authorization for outpatient and inpatient services and works closely with Utilization Review and other clinical staff to obtain needed information.
The Patient Accounts Specialist is accountable for the submission, correction and resubmission of all patient visits from inception of bill until final payment has been received from all intermediary payors. In addition, the Patient Accounts Specialist is accountable for posting insurance remittances and patient payments, including calculations of discounts and/or adjustments. This position also necessitates telecommunications with patients, guarantors, insurance companies, attorneys, other medical facilities and relating MMC-BD departments, and will support the Financial Counselors in assisting customers with balance and payment questions or concerns.
The Support Technician has responsibilities for supporting patient care for inpatient and outpatient Rehabilitation patients and outpatient Wellness clients. This includes assisting therapists in providing patient care, and computer based reception, registration and scheduling for Occupational Therapy, Physical Therapy, Speech-Language Pathology and Massage Therapy. Support is also provided for the Sports & Fitness Center, Foot Clinic, Physiatry and Acupuncture. As a member of the Rehabilitation Services team, the Support Tech is also accountable for participating in quality improvement, problem solving and productivity enhancement.
The Unit Clerk II performs a variety of clerical, reception and support functions to ensure timely and effective day-to-day operations and communications within the Medical Imaging Department. Responsibilities may vary based on assigned area and may include: greeting and assisting patients, answering telephones, scheduling exams, registration of patients, scanning/coping/ filing; gathering appropriate information for scheduled tests and other responsibilities as assigned. Unit Clerks are also accountable for demonstrating exceptional customer service skills, attention to detail, knowledge of medical terminology, CPT and ICD Diagnosis Codes and adhering to departmental policies, procedures, standards and protocols.
The Process Improvement (PI) Facilitator creates, promotes, and sustains a culture of continuous improvement. The PI Facilitator will apply, teach, and coach other MMC-BD team members on process improvement methodology, tools, techniques, and values as designed in the MMC-BD Improvement System.