POSITION GOAL
Knowledge of insurance contracts and payor benefits and eligibility requirements. Calculate co-payments, deductibles based on insurance contracts in order to determine patient liabilities for all elective cases (inpatient and outpatient). Assess all direct admits. Assist in insurance verification and calculation of patient liabilities. Work with case management for any outstanding issues with insurance coverage and assist with precertification issues as needed. Prepares the daily deposit for the department and reconciles all money with our patient logs. Communicates ongoing systematic issues to leadership.

POSITION RESPONSIBILITIES
• Review scheduled procedures and tests in order to determine patient’s financial liability, price charts, and to screen for medical necessity (ABN), if indicated.
• Assist scheduling, verification/precertification staff in order to ensure that all scheduled accounts insurances have been verified, precertification requirements have been satisfied and all patient liabilities have been calculated prior to patients arrival.




• Assist with coverage when needed in registration, ER, front desk, and PBX.  Maintain open communication with management in order to communicate any status of scheduled patients as well as direct admits.
• Reviews the daily schedule for IP, OP, and ER for self-pay patients for targeted interactions, collections, and Charity Care eligibility.
• Reviews the daily schedule and validates the correct HSV status. Responsible for financially clearing, calculating payment estimates, and counseling Self-Pay patients for elective procedures.
• Work closely with case management to assist with any insurance or precertification issues.
• Set up payment arrangements/monthly installment plans for patients to pay off their balances within JHMH financial guidelines.
• Assists patient in understanding of their insurance benefits.
• Educate and communicates to patient access staff, the collection process for any and all pat

📌 Financial Counselor (Puenteareas)
🏢 RUSSELL COUNTY COMMUNITY HOSPITAL LLC DBA
📍 Puenteareas