As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.
Counsel and educate families regarding alternative funding sources that are available. Provide excellent customer service. Make financial arrangements for families that have partial NCC funding or are self-pay. Serve as a resource to other PBS teams and assist with special projects. Assist in training new employees and provide cross coverage within the PBS area.
Courteously and promptly answer telephone lines
Communicate effectively with providers, patient families and other team members
Interview and assess families for NCC funding
Refer families to alternative sources of funding, i.e. Medicaid / Medical Needy, CMS,
KidCare and Early Intervention etc.
Set up payment plans for patients with partial NCC funding or past due balances
Collect and post payments on past due accounts
Process NCC Funding applications for Management approval
Provide excellent customer service
Maintain a working knowledge of and follow PBS and Clinical Policies and Procedures
Answer patient questions on billing and patient account inquires.
Work as part of a team to cover related functions within PBS by establishing and maintaining a working relationship with individuals outside of your immediate area, (Registration, , Billing, DAG, PSS)
Work with all teams within the PBS area to be more efficient, productive and maintain set requirements for the Department
Mail out NCC Funding Applications and Renewal letters.
Enter all patient information changes in patients account
Verify CMS account adjustments.
Complete 2039’s when necessary and send to DCF service center.
Provide billing information to Case Worker on Medical Needy Accounts for bill tracking.
Bill and F/U Monthly Institutional Accounts
Demonstrate reliability in daily work practices with a clear understanding of NCC policies and procedures
Other duties as assigned by Supervisor
Strong computer and clerical skills
Strong knowledge and understanding of health insurance and associated guidelines
Extensive knowledge and understanding of Clinic services and personnel
Makes decisions within established guidelines and departmental policy
Knowledge of HRS, Medicaid and insurance plan policies and procedures
Strong collection skills
Recognizes and understands all functions within PBS
Meets deadlines and completes work in a timely manner
Exhibit a teamwork orientation and be cross trained in at least two other PBS areas, outside normal job functions
Maintain strict confidentiality
Demonstrates reliability through work performance and attendance
Accepts additional duties as a learning tool.
Works independently and functions as backup to Supervisor
All requirements for Financial Counselor I
Minimum of 3 years experience in the medical field, experience in a doctor’s office setting required.
Minimum of 1 year experience in financial counseling or collections.
High school diploma required, 1 to 2 years of college level course work preferred
Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.
Nemours is committed to improving the health of children. As a non-profit children’s health organization, we consider the health of every child to be a sacred trust. Through family-centered care in our children’s hospitals and clinics in Delaware, New Jersey, Pennsylvania and Florida, as well as world-changing research, education and advocacy, Nemours fulfills the promise of a healthier tomorrow for all children — even those who may never enter our doors. Nemours began more than 70 years ago with the vision of Alfred I. duPont to improve the lives of children and to do whatever it takes to prevent and treat even the most disabling childhood conditions. Today, through our children’s hospitals and health system, we directly care for 250,000 children annually in Delaware Valley and Florida, including families who travel from across the country and world to see our specialists — treating every child as we would our own. We also reach beyond the walls of our hospitals and clinics to be a voice for children on a national and international level, and to lead the way in prevention, intervention, education, and research. Nemours is growing to better serve the children and families in our ca...re. We have 1.1 million square feet of space currently devoted to providing children’s healthcare or under construction, all designed with significant input and advice from our patients and families.