Healthcare Financial Consultant

2 months ago

Temple, Texas, United States Baylor Scott & White Healthcare Full time
POSITION OVERVIEW

The Financial Counselor plays a crucial role in executing financial clearance processes, which encompass verifying insurance eligibility and benefits, securing authorizations, and providing cost estimates. This role is essential in resolving billing disputes that necessitate extensive interaction with patients. Additionally, the Financial Counselor acts as a subject matter expert on financial assistance policies, point of service collections, and supports various special projects.

KEY RESPONSIBILITIES
  • Collaborates closely with facility leadership to ensure comprehensive financial clearance and screening for all patients.
  • Conducts interviews with patients to gather necessary demographic and financial information for registration, insurance verification, pre-certification, and billing processes.
  • Accurately records patient demographic details while reviewing past accounts and those with upcoming service dates.
  • Adheres to and implements several intricate system policies, including financial assistance, limited plans, point of service, and out-of-network protocols.
  • Collects and evaluates guarantor financial information for financial assistance or directs patients to suitable public assistance resources.
  • Provides estimates for procedures and services, calculates payment obligations, and negotiates pre-service payments in accordance with financial clearance standards.
  • Establishes payment plans for both current and past services.
  • Reviews upcoming schedules to confirm that pre-authorizations and pre-payments have been secured.
  • Assists in liaising with physician offices and patients to ensure that pre-authorization and referral requirements are fulfilled prior to service dates.
  • Analyzes and interprets explanations of benefits from payers to aid patients and guarantors in understanding claims processing or service denials.
ESSENTIAL QUALIFICATIONS
  • Minimum of 3 years of experience in healthcare or equivalent educational background.
  • Demonstrated ability to engage in problem-solving and critical thinking.
  • Strong listening, interpersonal, and communication skills, along with professional and courteous telephone etiquette.
  • Ability to maintain professionalism in high-pressure and emotionally charged environments, including those involving crime, behavioral health, and critically ill patients.
  • Exhibits a high level of empathy and the capability to communicate effectively with patients and their families during distressing situations, while showcasing exceptional customer service skills.
  • Proficient in managing multiple, shifting priorities in an organized and effective manner.
  • Excellent skills in data entry, numeracy, typing, and computer navigation.
  • Basic proficiency in computer applications, including Microsoft Office and Excel.
COMPENSATION AND BENEFITS

Our comprehensive benefits package includes:
  • Immediate access to health and welfare benefits.
  • 401(k) savings plan with a dollar-for-dollar match up to 5%.
  • Tuition reimbursement opportunities.
  • Paid time off accrual starting from Day 1.
Note: Benefits may vary based on position type and/or level.

EDUCATIONAL REQUIREMENTS
  • EDUCATION - High School Diploma or GED Equivalent.
  • EXPERIENCE - Minimum of 3 years in a relevant role.

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