Allergy Financial Counselor

1 month ago


Houston, United States Texas ENT Specialists Full time
Job DescriptionJob Description

We are currently looking for an Allergy Financial Counselor to join our team.

The Allergy Financial Counselor is responsible for creating a positive patient and provider experience by accurately and timely handling the day-to-day operations related to financial clearance. These responsibilities include but are not limited to reviewing documentation for payer-specific guidelines, verification of benefits, pre-authorization requirements, and determining patient financial obligations for allergy services.

Key Functions

  • Reviews medical policies to ensure documentation guidelines are met
  • Obtains and documents verification of patient benefits to include network participation status, patient out-of-pocket expenses, exclusions, and lifetime max
  • Obtains pre-authorizations timely and documents reference/authorization numbers
  • Provides financial counseling to patients to include cost estimates, payment terms, collection of payment, and any barriers related to financial clearance
  • Works collaboratively with providers, clinic staff, and the CBO team to ensure all financial clearance requirements are met
  • Responsible for escalating financial clearance issues to the Supervisor for timely resolution
  • Accurately documents all communication
  • Conducts all activities in alignment with TENTS core values
  • Completes all extra projects as assigned

Qualifications

  • High school diploma or equivalent required
  • Three years of experience in healthcare, insurance, or related field preferred.
  • Experience with computer-based software (eClinicalWorks experience preferred in addition to Microsoft Word and Excel)
  • Ability to type 35 words per minute



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