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Posted: Monday, April 17, 2017 12:38 PM

Patient Financial Counselor, FT Days Colorado Blood Cancer Institute (CBCI) Position Summary: Under general supervision, evaluates medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-9-CM), and the American Medical Association’s Current Procedural Terminology manual (CPT); provides technical guidance and training on medical coding to physicians and staff; and performs related duties as required. Reviews patients' insurance benefits with them, explains co-pay responsibility, obtains prior authorizations for procedures/medications, enters patient charges. Job duties include: • Registers all patients in the financial software and updates information as necessary • Establishes contract and payment plan with self-pay patients • Serves as an advocate for patients/families in regards to resolutions of ethical dilemmas • Uses appropriate patient feedback and refers patients to other Ability to Pay or CICP programs when need arises (undocumented, no income) • Data entry for hospital billing of Medicare and Medicaid patients into billing system • Verify insurance of patients and enter information into financial software • Reviews patient insurance information with patient and explain co-pays and coverage for treatment, procedures and medications • Obtains prior authorizations from insurance companies for treatment, procedures and medications • Participates in grants, drug replacement, drug assistance, and other financial assistance programs to assist patients in need. • Receives and review charge documents from clinic • Ensures that charge information provided is complete and accurate • Evaluates medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the outpatient visit, and to ensure that data comply with legal standards and guidelines • Interprets medical information such as diseases or symptoms, and diagnostic descriptions and procedures for a given visit in order to accurately assign and sequence the correct ICD-9-CM and CPT codes • Evaluates records and prepares reports on such topics such as number of denied claims or documentation or coding issues. • Demonstrates understanding of the copy machine, fax machine, and phone system. • Aware of patient's right to privacy and questions, when needed, regarding release of information. • Demonstrates the ability to work independently. • Communicates work status to the Front Office Supervisor on a daily basis. Immediately informs the Front Office Supervisor of any backlogs, delays, or problems. • Assists in other Front Office functions as needed. • Other duties to be assigned as necessary. • Answers telephone inquires and interacts with colleagues in a professional manner. Presbyterian/St. Luke’s Medical Center expects our Code of Conduct Value Statements to be reflected in the way every employee interacts with co-workers, patients and family members, and with others in the community. • We recognize and affirm the unique and intrinsic worth of each individual • We treat all those we serve with compassion and kindness • We act with absolute honesty, integrity and fairness in the way we conduct our business and the way we live our lives. • We trust our colleagues as valuable members of our healthcare team and pledge to treat one another with loyalty, respect and dig

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• Location: Denver

• Post ID: 33312233 denver
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