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Patient Financial Counselor
2 months ago
This position is located in our St. Vincent's Birmingham location.
Scope:
Under minimal supervision, is responsible for insurance verification and eligibility, assessment of patient financial requirements, counseling patients on insurance benefits and copayments. Obtains pre-authorization of services. Obtains and maintains accurate patient demographics.
Essential Duties and Responsibilities:
Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner.
Performs insurance verification process on all third-party payors. Obtains initial and subsequent pre-authorization of services.
Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensures appropriate signatures are obtained on all necessary forms.
Utilizes the Summary of Patient Reimbursement and Liability form and obtains appropriate approvals as required.
Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements.
Documents financial counseling process and forwards to Billing Office
Assists patients in obtaining financial assistance (i.e. Medicaid, drug replacement), outside assistance (i.e. transportation or other community services), and all appropriate forms filled out.
Collects co-pays, deductible and other out of pocket amounts at time of visit.
Assists in maintaining manuals, logs, and other required documents as required.
Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
Follows policies and procedures to contribute to the efficiency of the front office. Covers for and assists with other front office functions as requested.
Additional Skills and Abilities:
Ability to read, understand, and follow oral and written instructions.
Ability to sort and files materials correctly by alphabetic and numeric systems.
General knowledge of medical terminology.
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