GENESIS HEALTHCARE SYSTEM
 

In order to fill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services, all employees of Genesis HealthCare System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation. All employees must regard themselves as an ‘owner’ of Genesis and keep our patients at the center of everything we do - always. 

Position Details:

Work Shift:

Day Shift (United States of America)

Scheduled Weekly Hours:

0

Department:

Radiation Oncology GHS

Overview of Position:

The Patient Financial Advisor schedules, pre-registers and provides financial guidance for patients to ensure an efficient, thorough process. The advisor must maintain clear and open communication with patient, physician offices, insurance companies, and any applicable hospital departments prior to and after the patient receives services. The advisor notifies patient/guarantor of financial responsibilities and various payment options, any applicable discounts, and financial assistance. The advisor serves as the main point of contact throughout the encounter by employing exceptional independent decision making and customer service skills as to support both the patient and the organization.

ESSENTIAL DUTIES
1.    Performs all applicable scheduling, pre-registration and financial clearance for hospital and physician services. This entails validating/obtaining and entering demographic and clinical information and obtaining signed physician orders for tests/procedures. Communicates with patients/families at all times in a courteous manner to ensure excellent patient relations. 
2.    Validates medical necessity (LMRP/LCD review) of Medicare and non-Medicare cases to ensure clinical and financial clearance.  Contacts clinical, scheduling and/or ancillary department staff for clarification of diagnosis, tests and/or procedures as needed.
3.    Performs insurance eligibility/benefit verification.  May contact third –party payers in regards to reimbursement.  Ensures all information is accurately documented within the patient accounting system. 
4.    Determines the need for and obtains appropriate service authorizations working with the physician and case management/utilization review personnel, as necessary, and schedules services accordingly. 
5.    Communicates various payment sources and options available to resolve balances with patients, family members/guarantors, 3rd party payers, employers and physicians/office staff. 
6.    Determines and informs patient/guarantor of various payment options, applicable discounts, and financial assistance, and collects appropriate patient co-payments, co-insurances, deductibles, and outstanding balances at the point of pre-registration.  Documents payments in the patient accounting system and provides the patient with a receipt.    
7.    Primary contact for patient regarding any and all non-clinical questions and/or concerns related to their service. Connects patients with clinical staff as needed and follows up on financial concerns for both hospital and professional services. Provides information regarding directions, parking, transportation service, overnight accommodations, etc. during pre-registration calls. 
8.    Seeks guidance during precertification/authorization process and all other financial clearance responsibilities as needed.   
9.    Works within and provides assistance to other departmental personnel as needed.  Cross-trains in various functions as needed to assist in the efficient delivery of care. 
10.    May prepare special reports as directed by leadership to document utilization of the pre-service unit's services and patient flow (e.g., patient service time, call volume, etc.).  
11.    Maintains a working knowledge of Genesis organizational integrity program, standards of conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
12.    Consistently strives to achieve maximum productivity and efficiency during the assigned shift.
13.    Performs other duties as needed and assigned by the department leadership.

QUALIFICATIONS
1.    High school diploma or equivalent required. 
2.    At least one (1) year of work experience within a physician office, hospital or clinic environment, performing pre-registration and financial clearance activities; or an insurance company, performing payer activities.
3.    Working knowledge of medical terminology, anatomy and physiology, and basic computer skills are high desirable.  
4.    Must have a thorough knowledge of insurance documentation requirements, the patient accounting system, and various data entry codes to ensure proper documentation and billing of the patient's account.
5.    Must possess excellent verbal and written communication skills, and strong interpersonal skills.  
6.    Accuracy, attentiveness to detail and time management skills are mandatory traits.  
7.    Completes training sessions in all revenue cycle departments within one year from date of hire.
8.    Must be comfortable operating in a collaborative, shared leadership environment. 
9.    Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring.

PATIENT CENTERED CARE & BEHAVIORAL EXPECTATIONS
1.    Living the Genesis Mission, Vision and Values
•    Performs work in a manner that is quality focused. 
•    Treats patients, co-workers, visitors and volunteers with courtesy, compassion, empathy and respect.
•    Results oriented and focused on achievement of objectives.
•    Acknowledges and responds to the diversity of people and the situation.
•    Encourages peers (others) to be owners of change.
•    Always makes the effort to anticipate and exceed customer needs and expectations.
•    Possesses the ability to engage others with patience and understanding.
•    Acts in a manner that creates positive first and lasting impressions.
•    Demonstrates the ability to own issues until they are resolved.

2.    Patient Centered Care  (patients/families, physicians, co-workers, all other internal/external customers)
•    Introduces self and role…connects with everyone.
•    Communicates effectively (i.e. advising others of actions, pertinent information, time durations, etc.) and asks for feedback.
•    Asks for and anticipates needs and concerns of others.
•    Maintains a positive work environment for staff and a healing environment for patients (i.e. safe, clean, quiet, etc.)
•    Maintains the dignity and privacy of each person; manages confidential/sensitive information appropriately.
•    Responds to requests in an appropriate and timely manner.
•    Exits patient/customer encounters courteously, asking if there are additional needs that can be addressed.

3.    Promotes Patient and Employee Safety 
•    Demonstrates safe patient handling (i.e. transfers, transport, care administration, nutrition, medication, etc.).
•    Demonstrates safe materials handling (i.e. appropriate use and disposal of chemicals, infectious wastes, etc.).
•    Demonstrates appropriate knowledge of Infectious Disease precautions and use of proper protective equipment.
•    Demonstrates Slips/Trips and Falls Awareness.
•    Actively contributes to maintaining a safe, clean and quiet environment.

WORKING CONDITIONS/PHYSICAL REQUIREMENTS 
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential function of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  

1.    Position operates in an office environment.  Work area is well-lit, temperature controlled and free from hazards.  The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen.  The noise level is low to moderate. 
2.    This position requires the ability to comprehend and retain information that can be applied to work procedures, including the assimilation of multiple test modalities and judgment in test sequencing to achieve appropriate timing of testing and patient flow.
3.    Occupational exposure to blood or other potentially infectious materials may reasonably be anticipated from the performance of the employee's duties.  Skin, eye, mucous membrane, and/or parenteral contact with blood or potentially infectious material are reasonably anticipated. 
4.    May travel to other floors and to centralized files.  Answers telephone calls, uses personal computer and other business machines extensively.  Bends, reaches pushes and pulls file drawers to file records and reports.
5.    Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 pounds.
6.    Vision abilities required include up close vision, peripheral vision, depth perception and the ability to adjust focus.
7.    May be required to periodically rotate shifts and regular days off.  All system employees must be willing to work all shifts, extra hours, holidays and emergency shifts as required.

This description reflects in general terms the type and level of work performed.  It is not intended to be all-inclusive, nor portray the specific duties of any one incumbent.
 

Thank you for your interest in employment at Genesis. Genesis is committed to being an equal opportunity employer. Selection of applicants for employment is based only on qualifications and the requirements of a specific job.