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Patient Financial Counselor
1 month ago
The Patient Financial Advisor is a key member of our team at Catholic Medical Center, responsible for providing expert financial guidance to patients regarding medical costs, insurance coverage, and payment options. This role requires strong communication skills, a solid understanding of healthcare billing, and the ability to work closely with patients, healthcare providers, and insurance companies to resolve financial issues.
Key Responsibilities
- Patient Counseling: Meet with patients to review medical costs, explain billing statements, and discuss payment options. Provide guidance on available financial assistance programs, including charity care and government-sponsored programs. Assist patients in understanding their insurance benefits, coverage limitations, and out-of-pocket costs.
- Financial Planning: Develop customized payment plans based on the patient's financial situation and medical needs. Offer financial advice and options for managing medical debt, including negotiating with insurance companies or providers. Screen patients for eligibility for financial assistance programs and help those complete necessary applications.
- Insurance Coordination: Review patient insurance coverage to determine co-pays, deductibles, and co-insurance responsibilities. Communicate with insurance companies to resolve coverage issues or discrepancies in billing. Assist patients in understanding pre-authorization or pre-certification requirements for medical procedures.
- Billing Support: Assist in resolving disputes or questions related to medical bills. Work with the billing department to ensure accurate charges and insurance claims are submitted. Follow up on unpaid bills, helping patients avoid collections by setting up payment plans or financial assistance.
- Patient Advocacy: Act as a liaison between patients, healthcare providers, and insurance companies to ensure patients receive necessary care without financial barriers. Provide ongoing support and follow-up throughout the patient's care journey.
- Education: High school diploma or equivalent required; associate or bachelor's degree in finance, healthcare administration, or a related field preferred.
- Experience: Experience in healthcare billing, insurance claims, or financial counseling. Knowledge of medical terminology, insurance practices, and patient billing procedures.
- Skills: Excellent communication and interpersonal skills. Strong analytical and problem-solving abilities. Proficient in healthcare software systems and Microsoft Office. Compassionate, patient-focused approach to customer service.
Catholic Medical Center is a nonprofit, regional health system committed to delivering the highest quality and most advanced healthcare to patients across New Hampshire. We are driven by our mission to offer health, healing, and hope to every individual who seeks our care, and we live by our values of Respect, Integrity, Compassion, and Commitment. We are proud to be named to the Forbes list of America's Best-in-State Employers for two consecutive years.
