Financial Counselor I

Financial Counselor I

Requirements

• High School Diploma/GED required
• Preferred Associate’s Degree
• 1 year Revenue Cycle required

Responsibilities

• Contact patients to assist with discrepancies in insurance coverage, rescheduling options and financial security of services scheduled to be rendered.
• Responsible for self-pay, Medicare, and various other work queues created for Financial Counseling Department, including Medicare days and lifetime reserve forms.
• Contact patient for Point of Service Collection (POS) and post payment as appropriate, and work with Patient Access Staff at the hospital site in POS goals.
• Review and understand insurance eligibility.
• Educate patients as appropriate on insurance coverage, benefits, and liability.
• Work closely with Scheduling, Ancillary Departments, Insurance Verifier, Billing, Collections, Enterprise Management, Customer Service and third-party vendors.
• Analyze available documentation and use software or hospital resources to calculate and explain the expected charges for the services being provided, the amount expected from the payer, and the amount owed by the patient or responsible party.
• Document pertinent account information clearly, concisely and timely in the account record.
• Explain payment options and financial assistance to the patient or responsible party and determine the number of payments on payment plans for self-pay balance per policy.
• Meet with patients to review post-service billing concerns and facilitate customer complaints and service excellence complaints.
• Meet with patients and their family in patient rooms for specific needs with financial counseling during a patient’s stay.
• Provide financial assistance/education and facilitate the paperwork upon patient requests.
• Review all learning material provided by the management team.

Preferred Qualifications

• Preferred Associate’s Degree