As part of our continued commitment to providing a safe and healthy workplace, Phoenix Children’s is officially a mandatory COVID-19 vaccination organization, effective October 1, 2021. All new employees must be fully vaccinated prior to starting employment at Phoenix Children’s. Having a vaccinated workforce is an important step in supporting our mission to provide hope, healing and the best healthcare for the children in our community.
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Position Details

Department: PCH-MAIN | Hospital Registration
Category: Patient Financial Services
Location: Gilbert
Posting #: 719572
Date Posted: 1/4/2023
Employee Type: Regular

Position Summary

Posting Note: This position will train out of the Phoenix Children's Main campus in Phoenix until new facility is completed at Mercy-Gilbert in Gilbert, AZ. The schedule for this role is Monday - Friday from 9:00am - 5:30pm.

This position guides and trains the Family Financial Counselors in working with patient families to educate them on insurance benefits, payment options and out of pocket amounts due, assisting them in obtaining 3rd party coverage through government and commercial avenues and walking them through the PCH financial assistance and premium assistance programs when applicable. The Lead Financial Counselor thinks creatively about coverage options in a changing healthcare environment and provides a customer service friendly approach that is coordinated with with the patient's care team in order to ensure that the family has a full understanding of liability, coverage and coverage options, and payment options.

PCH Values

  • Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
  • Excellence in clinical care, service and communication
  • Collaborative within our institution and with others who share our mission and goals
  • Leadership that set the standard for pediatric health care today and innovations of the future
  • Accountability to our patients, community and each other for providing the best in the most cost-effective way.

Position Duties

  1. Conducts training and quality assurance with family financial counselors to ensure that they understand all aspects of their job duties and are performing them consistently and at the standard level set by the organization. Ensures that staff are oriented to the job expectations so they may fully carry out their responsibilities.
  2. Maintains a positive working relationship with patients/guarantors, insurance companies, government entities, clinical personnel, co-workers and management to promote teamwork, cooperation and a positive public image for PCH.
  3. Fulfills all the duties of the Family Financial Services Counselor and acts as back up coverage for staff shortages due to PTO, open positions, and times of high volume.
  4. Participates in a variety of unit and hospital education programs to maintain current skill and competency levels.
  5. Provides input regarding staff performance to the Supervisor of Admitting and Financial Counseling such that he/she can review employees' performance annually and can take corrective action when necessary.
  6. Resolves problems with internal and external clients. Involves other supervisors an department leadership as necessary.
  7. Maintains an in depth understanding of the Federal Marketplace, Medicare, Managed Care, AHCCCS, and other third party payer rules, authorization and billing requirements.
  8. Acts as primary financial contact for all international patients seeking health care services from PCH/PCMG.
  9. Performs miscellaneous job related duties as requested.

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Do you meet this requirement?
Education
1. Associates degree in health care, business or related field OR the equivalent combination of education and experience. Required
Do you meet this requirement?
Experience
1. Ability to speak and write Spanish. Preferred
2. AMPFM and Misys platform experience. Preferred
3. Experience with full disclosure laws, credit analysis and the fair debt collection practices act. Preferred
4. Experience with and knowledge of the HIPAA privacy act. Required
5. Experience with HMOs and other third-party payers within and outside the United States. Required
6. Experience with related Federal and State programs available to the uninsured. Required
7. Four (4) or more years of experience in a health care revenue cycle environment. Required
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Climbing Occasionally
2. Physical Requirement - Feeling (sensing textures and temperatures) Occasionally
3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) Frequently
4. Physical Requirement - Hearing Constantly
5. Physical Requirement - Pushing/pulling Frequently
6. Physical Requirement - Reaching Frequently
7. Physical Requirement - Sitting Frequently
8. Physical Requirement - Standing Frequently
9. Physical Requirement - Stooping/crouching/kneeling/crawling Occasionally
10. Physical Requirement - Talking Frequently
11. Physical Requirement - Tasting/smelling Occasionally
12. Physical Requirement - Walking Frequently
13. Physical Requirement - Near Vision Occasionally
14. Physical Requirement - Far Vision Occasionally
15. Physical Requirement - Color Discrimination Occasionally
16. Physical Requirement - Use of keyboard, mouse and/or computer equipment Frequently
17. Physical Requirement - Lift up to 35 pounds without assistance Occasionally
18. Physical Requirement - Lift more than 35 pounds without assistance Occasionally
19. Occupational Exposure/Risk Potential - Inside office environment Applicable
20. Occupational Exposure/Risk Potential - Confined areas Applicable
21. Occupational Exposure/Risk Potential - Airborne communicable diseases Applicable
22. Occupational Exposure/Risk Potential - Bloodborne pathogens or bodily fluid Applicable
23. Occupational Exposure/Risk Potential - Fumes or airborne particles Applicable
24. Occupational Exposure/Risk Potential - Hazardous materials exposure Applicable
internal/external
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply