Financial Counselor

1 week ago

Round Rock, United States Baylor Scott & White Health Full time

**JOB SUMMARY**

**ESSENTIAL FUNCTIONS OF THE ROLE**
- Works closely with facility leadership to ensure all patients are financially cleared and screened.
- Conducts patient interviews to obtain demographic and financial data for registration, insurance verification, pre-certification and billing.
- Records accurate patient demographic information when reviewing previous accounts and accounts with future dates of service.
- Follows and acts on several complex system policies (financial assistance, limited plan, point of service, out of network, etc.)
- Obtains and screens guarantor financial information for financial assistance and or refers patient to appropriate resource for public assistance programs.
- Provides estimates of procedures and services, calculates payment requirements, and negotiates pre-service payments according to financial clearance requirements.
- Establishes payment arrangements for future and previous services.
- Reviews future schedule to ensure pre-authorization and pre-payments have been collected.
- Assists with contacting physician office and patient in order to ensure pre-authorization and referral requirements are met prior to the date of service.
- Reviews and interprets explanation of benefits received from payers in order to assist patients and guarantors with understanding of claims processing or denial of services by payer.

**KEY SUCCESS FACTORS**
- 3 years of healthcare experience or education equivalency required.
- Proven ability to problem-solve, perform critical thinking.
- Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.
- Ability to maintain a professional demeanor in a highly stressful and emotional environment, to include crime, behavioral health and suffering patients in addition to life or death situations.
- Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills.
- Demonstrates ability to manage multiple, changing priorities in an effective and organized manner.
- Excellent data entry, numeric, typing and computer navigational skills.
- Basic computer skills and Microsoft Office and Excel.

**BENEFITS**

Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level

**QUALIFICATIONS**
- EDUCATION - H.S. Diploma/GED Equivalent
- EXPERIENCE - 3 Years of Experience

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