Clinical Financial Counselor
Job no: 515480
Work type: Staff Full-Time
Location: Main Campus (Gainesville, FL)
Categories: Business/Accounting/Finance, Health Profession, Veteran's Preference Eligible
Department:34010703 - DN-FACULTY PRACTICE
Advertised: 11 Jan 2021 Eastern Standard Time
Applications close: 18 Jan 2021 Eastern Standard Time
Clinical Financial CounselorJob Description:
The College of Dentistry is accepting applications for a Clinical Financial Counselor. The position will interview, provide financial counseling, discuss insurance coverage, and advise them of available payment options with patients relative to their treatment in the Restorative Dental Science (RDS) Faculty Practice (FP) Care Center and Faculty Orthodontics.
Specific duties include:
- Interview and counsel all patients in RDS FP Care Center, and Faculty Orthodontics, respectively, to determine their financial status and/or insurance coverage and available payment options.
- Review insurance policies to determine deductible, co-payment, and extent of coverage.
- Prepare estimates of medical and dental fees to discuss cost with patients, and negotiate payment and collections with insurance companies.
- Compile data required and prepare medical necessity letters for submitting to the patient’s medical insurance.
- File and refile records of medical insurance claims.
- Collect on patient accounts and ensure accuracy of debits and credits for patient balances.
- Assist patients in establishing payment method for proposed treatment before treatment begins (i.e., cash payments, contracts, loans from financial institution, credit card payments, etc.).
- Initiate and follow through on patients’ applications for commercial payment plans.
- Maintain contact with patients throughout treatment to assist with payment problems, to verify that payments are timely made, and to intervene on the patient’s behalf with third-party payers.
- File forms, monitor payments, maintain records, and produce reports. Work with members of the COD Business Office to collect balances, process claims, and troubleshoot all reimbursement problems for FP.
- Maintain current knowledge of third-party payer contracts; agency rules and regulations; and CPT, CDT and ICD-9-CM coding.
- Responsible for all doctor provider schedules and meeting production goals.
- Provide doctors with planned appointment list every two weeks. Follow up with unscheduled patients.
- Serve as FP point-of-contact (POC) for all reimbursement, insurance, and coding issues.
- Maintain up-to-date knowledge in these areas and provides clear and appropriate information to questioners.
- Maintain updated patient information and documentation in Axium.
- Actively maintain communication with faculty members to provide current information regarding their patients’ financial status, especially as it affects treatment-planning choices.
- Respond to requests from dental faculty members to resolve payment issues as they arise.
- Provide timely feedback to faculty members regarding efforts towards resolution of problems.
- Monitor upcoming patient schedules to determine any balances due prior to appointment and arrange to meet patients when necessary.
- Routinely alert doctors of balances due and discuss collection options.
- Using accounts receivable reports for all practitioners in the FP Patient Care Center, follow collection procedures.
- Determine which accounts should be sent to an outside collection agency and present cases to doctors for approval.
- Submit accounts to Billing Office for write-off or provide instructions for further follow-up.
- Print, review, and analyze FP aging report monthly, adding comments to patient accounts relative to the same.
- Provide practitioners with monthly production and productivity reports.
$19.00 to $20.00 hourly.Minimum Requirements:
High school diploma or equivalent and one year of related experience and/or training, including customer service; or an equivalent combination of education and experience.Preferred Qualifications:
- Knowledge of Dental Codes
- Knowledge of UF and COD policies and procedures related to patient collection
- Knowledge of basic dental and medical insurance terminology
- Analytical problem-solving capabilities; ability to identify/analyze problems quickly and develop solutions that best meet the objectives of the department and clinics
- Ability to communicate verbally with individuals of varied educational, social, and economic backgrounds effectively
- Skilled in utilizing the following computer programs: Axium, Microsoft (MS) PowerPoint, MS Excel, and MS Word
In order to be considered, please upload your cover letter and resume.
This position is eligible for veteran’s preference. If you are claiming veteran’s preference, please upload a copy of your DD-214 Member Copy 4 with your application for consideration. See our Veteran's Preference Page for more specific information.
Application must be submitted by 11:55 p.m. (EDT) of the posting end date.Health Assessment Required: