Patient Financial Counselor

1 month ago

Springfield, United States Option Care Health Full time

Extraordinary Careers. Endless Possibilities.

With the nation’s largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees.

As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a thriving workforce that is as diverse as the patients and communities we serve.
Join a company that is taking action to develop a culture that is more inclusive, respectful, engaging and rewarding for all team members. We are committed to hiring, developing, and retaining a diverse workforce.

Job Description Summary:

The Patient Financial Counselor is responsible for coordinating payment with patients, collecting outstanding balances, and answering patient billing questions. The Patient Financial Counselor explains benefits, discusses the co-pay and/or out-of-pocket responsibilities with patients, conducts hardship interviews, develops payment plans for patients, processes CODs as well as payments that come in through the mail, and works to obtain and maintain the correct address of patients.

Job Description: ​

Job Responsibilities (listed in order of importance and/or time spent)

  • Explains the patient’s benefits, discusses co-pays or out-of-pocket responsibilities, and creates a mutually agreed-upon payment plan to ensure payment
  • Conducts hardship interviews with patients as needed
  • Receives patient phone calls and answers their questions about invoices/statements received
  • Contacts patients to request additional information if insurance has terminated or denied charges
  • Works with pharmacy on active accounts with outstanding balances.  Handles COD arrangements
  • Generates monthly patient statements
  • Processes payments that come in through the mail
  • Researches patient addresses when receiving returned mail, and works to secure accurate billing address
  • Contacts patients with balances on a daily basis to set up payment arrangements and collect outstanding balances.  If payments are not made per the arrangement, places a follow-up call and may work to set up a new payment arrangement
  • Analyzes accounts and exhausts all other potential coverages (Medicare, Medicaid, etc.)
  • Maintains A/R days against Company guidelines for all self-pay accounts.  Decreases A/R over 120 days
  • Transfers patient balances from internal collections to an outside collection agency once 90 days past due or after Company’s collection efforts have been exhausted.  Serves as the primary contact with outside collections agencies, answering any questions they may have.
  • Provides excellent customer service to all internal and external customers
  • Participates in the Company orientation process for roles interacting with the PFC
  • Works directly with department Manager, ensuring tasks are completed and deadlines are met
  • Assists department Manager in process development
  • Performs other duties as assigned by management


Supervisory Responsibilities

Does this position have supervisory responsibilities? (i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) No

Basic Education and/or Experience Requirements

  • Minimum High School Diploma/GED and working knowledge of medical billing and/or collections processes/concepts

Basic Qualifications

  • Prior experience analyzing data
  • Strong attention to detail and the production of accurate work
  • Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates
  • Ability to work independently and complete assigned activities with limited supervision
  • Intermediate level skill in Microsoft Excel 2007 or later (for example: formatting text and borders of cells, working with workbooks and worksheets, using range names, referencing cells, sorting, and auto filtering).
  • Basic level skill in Microsoft Word 2007 or later (for example: such as: creating documents, entering and formatting text, page layouts, creating tables, and adding graphics).
  • Excellent communication and relationship skills, demonstrated compassion for people
  • Experience providing customer service to internal and external customers, including meeting quality standards for service

Travel Requirements:  (if required)

N/A

Preferred Qualifications & Interests (PQIs)

  • Minimum 1-year credit or self-pay collections experience strongly preferred

This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties.

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Pay Range is $18.35-$30.59

Benefits:

-401k

-Dental Insurance

-Disability Insurance

-Health Insurance

-Life Insurance

-Paid Time off

-Vision Insurance

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.

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