Financial Services Specialist
5 days ago
The Financial Counselor is a key member of our team, responsible for ensuring that patients receive high-quality financial services. This role involves performing financial clearance functions, including verifying insurance eligibility and benefits, ensuring authorizations, and providing price estimates.
Key Responsibilities
- Work closely with facility leadership to ensure all patients are financially cleared and screened.
- Conduct patient interviews to obtain demographic and financial data for registration, insurance verification, pre-certification, and billing.
- Record accurate patient demographic information when reviewing previous accounts and accounts with future dates of service.
- Follow and act on several complex system policies, including financial assistance, limited plan, point of service, out-of-network, and more.
- Obtain and screen guarantor financial information for financial assistance and refer patients to appropriate resources for public assistance programs.
- Provide estimates of procedures and services, calculate payment requirements, and negotiate pre-service payments according to financial clearance requirements.
- Establish payment arrangements for future and previous services.
- Review future schedules to ensure pre-authorization and pre-payments have been collected.
- Assist with contacting physician offices and patients to ensure pre-authorization and referral requirements are met prior to the date of service.
- Review and interpret explanation of benefits received from payers to assist patients and guarantors with understanding of claims processing or denial of services by payer.
Requirements
- 3 years of healthcare experience or education equivalency required.
- Proven ability to problem-solve and perform critical thinking.
- Requires good listening, interpersonal, and communication skills, as well as professional, pleasant, and respectful telephone etiquette.
- Ability to maintain a professional demeanor in a highly stressful and emotional environment, including dealing with traumatic events and life-or-death situations.
- Must be able to exhibit a high level of empathy and effectively communicate with patients and family members.
- 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
- 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.
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