Healthcare Financial Consultant

1 week ago

College Station, Texas, United States CAPROCK EMERGENCY, LLC Full time
Job Overview

Position Summary:

The Financial Counselor plays a crucial role in ensuring that patients have a seamless financial experience by guiding them through the complexities of insurance benefits and potential financial obligations. Acting as the primary contact for financial inquiries, the Financial Counselor is responsible for collecting payments, establishing payment plans, generating cost estimates, and advising patients on their insurance coverage both in person and via phone. Additionally, this role involves evaluating patient referrals for outpatient services and assisting with pre-authorization for hospital admissions. The Financial Counselor also helps patients explore eligibility for government programs and CapRock Emergency's financial assistance options.

Reporting Structure: This position reports directly to the Director of Business Services, who is responsible for overseeing the achievement of specific goals and objectives.

Educational Requirements:

  • High School Diploma or GED equivalent, with proof of completion required.
  • A minimum of 3 years of experience in healthcare or equivalent educational background is essential.
  • Experience in credit, collections, and billing within a healthcare context, preferably in a hospital environment, is necessary.
  • Proficiency in using personal computers and office equipment is required.
  • Ability to interpret billing manuals and understand insurance and third-party coverage.
  • Familiarity with the third-party review process and payer funding procedures is important.
  • Knowledge of government/state payer eligibility criteria is essential.
  • Understanding of medical and insurance terminology is required.

Key Responsibilities:

  • Act as the primary resource for financial assistance inquiries, engaging with patients and their families to gather relevant financial, social, and medical histories.
  • Evaluate patients' current financial situations by verifying insurance benefits and confirming coverage details.
  • Communicate patients' financial responsibilities and insurance benefits clearly.
  • Provide counseling on out-of-pocket expenses, collect necessary payments, and develop payment plans as needed.
  • Support patients and their families in accessing available funding from both private and governmental sources, including insurance and Medicare.
  • Initiate financial screening processes to determine eligibility for assistance programs, assisting patients in completing necessary documentation.
  • Coordinate with physician offices to ensure pre-authorization and referral requirements are fulfilled prior to services.
  • Inform patients and providers if acceptable payment arrangements cannot be established for elective procedures.
  • Communicate financial coverage statuses and decisions to all relevant parties.
  • Ensure accurate financial classification and update patient information in the system as necessary.
  • Review explanations of benefits from payers to assist patients in understanding claims processing.
  • Collaborate with the Billing department to resolve disputed billing issues through effective communication.
  • Maintain accurate patient demographic records and provide estimates for elective procedures.
  • Uphold a professional demeanor in all patient interactions, demonstrating sensitivity to their needs.
  • Participate in departmental meetings and contribute to team development through training and support.
  • Adhere to company policies and comply with all applicable laws and regulations.

Skills and Competencies:

  • Strong listening, interpersonal, and communication skills, with a professional telephone manner.
  • Ability to maintain composure in high-stress situations, demonstrating empathy and exceptional customer service.
  • Proficient in managing multiple priorities effectively and efficiently.
  • Excellent data entry and computer skills, including familiarity with Microsoft Office applications.
  • Independent judgment and decision-making skills are crucial for addressing various responsibilities.
  • Knowledge of current federal and state healthcare regulations, including HIPAA and EMTALA.
  • Self-motivated with strong problem-solving abilities.
  • Attention to detail and accuracy in all tasks.
  • Adaptability to changing environments and a commitment to continuous improvement.

Physical Requirements:

  • Regularly required to communicate effectively and perform tasks that involve sitting, standing, and walking.
  • Occasionally required to lift and move objects weighing up to 25 lbs.
  • Specific vision abilities required include close vision and the ability to adjust focus.
  • Ability to work in environments with potential hazards.

  • Healthcare Financial Consultant

    2 weeks ago

    College Station, Texas, United States CAPROCK EMERGENCY, LLC Full time

    Job OverviewPosition Summary:The Financial Counselor plays a crucial role in ensuring that patients have a seamless financial experience by guiding them through the complexities of insurance benefits and potential financial responsibilities. This position serves as the primary contact for patients seeking financial assistance and support.Reporting Structure:...

  • Financial Services Consultant

    2 weeks ago

    College Station, Texas, United States Prosperity Bancshares Full time

    Position Overview:As a Financial Services Consultant, you will play a vital role in delivering a comprehensive range of banking solutions tailored to meet our clients' needs.Key Responsibilities:- Facilitate the opening and closing of various accounts.- Manage the renewal processes for time deposit accounts.- Provide exceptional support to clients regarding...

  • Experienced Life Insurance Sales Representative

    4 days ago

    College Station, Texas, United States PR Financial Full time

    About the RoleWe are seeking an ambitious and results-driven individual to join our team as a Life Insurance Sales Agent at PR Financial. As a seasoned sales professional with a proven track record in life insurance sales or sales, you will have the opportunity to excel in a sales environment and help clients secure their financial future.Key...

  • Occupational Therapist

    7 days ago

    College Station, Texas, United States Creative Solutions in Healthcare Full time

    Job SummaryWe are seeking a highly skilled Occupational Therapist to join our team at Creative Solutions in Healthcare. As an Occupational Therapist, you will play a vital role in helping our patients achieve their goals and improve their quality of life.Key ResponsibilitiesAssessment and Treatment Planning: Conduct thorough assessments of patients' physical...

  • Financial Associate

    1 week ago

    College Station, Texas, United States The Pennsylvania State University Full time

    Job SummaryThe Department of Veterinary and Biomedical Sciences at The Pennsylvania State University is seeking a highly skilled Financial Associate to provide comprehensive financial support to faculty and staff. This position will report to the Administrative Manager and will perform most work activities in a systematic, complex, and deadline-driven...

  • Junior Sales Consultant

    2 weeks ago

    College Station, Texas, United States Hildebrandt Capital LLC Full time

    Position OverviewWe are excited to announce an opportunity for a Junior Sales Consultant at Hildebrandt Capital LLC. Our mission is to Help Other People Everyday, and we are in search of dedicated, coachable, and ambitious individuals to join our team.About UsAt Hildebrandt Capital LLC, we pride ourselves on our extensive experience and commitment to...

  • Consultative CPA Accountant

    1 week ago

    College Station, Texas, United States Minitab Full time

    Job OverviewMinitab is looking to fill a newly established Consultative Accountant role. This position is essential for providing accurate and timely summarized data to key stakeholders while ensuring a comprehensive understanding of the underlying financial information. The ideal candidate will possess strong analytical skills and a deep understanding of...

  • Financial Operations Specialist

    7 days ago

    College Station, Texas, United States The Pennsylvania State University Full time

    Job SummaryThe Department of Veterinary and Biomedical Sciences at The Pennsylvania State University is seeking a Financial Associate, Intermediate level, to provide comprehensive financial support to faculty and staff.Key ResponsibilitiesReconcile purchasing card transactions using SAP ConcurProcess travel reimbursements, adhering to university policies and...

  • Financial Services Representative

    2 days ago

    College Station, Texas, United States CAPROCK EMERGENCY, LLC Full time

    Job Summary:The Financial Counselor is a key member of the Caprock Emergency, LLC team, responsible for providing patients with a positive financial experience by helping them navigate and understand insurance benefits and potential financial liability. As the patient's point of contact for financial assistance questions, the Financial Counselor collects...

  • Beauty Consultant

    6 days ago

    College Station, Texas, United States LVMH Full time

    About the RoleWe are seeking a highly skilled and passionate Beauty Consultant to join our team at LVMH. As a Beauty Consultant, you will be responsible for guiding clients on their beauty journey, creating memorable experiences, and providing exceptional customer service.Key ResponsibilitiesProvide Personalized Beauty Consultations: Understand clients'...

  • Field Sales Consultant

    2 weeks ago

    College Station, Texas, United States C C Creations Full time

    Are you exploring a career in sales? C.C. Creations is in search of a skilled Field Sales Consultant to join our dynamic team. As a Field Sales Consultant, you will embody assertiveness, be driven by goals, and possess a strong desire for long-term personal and financial growth. Our company values and the positive attitudes of our employees have been the...

  • Financial Services Advisor

    1 week ago

    College Station, Texas, United States CAPROCK EMERGENCY, LLC Full time

    Job OverviewPosition Summary:The Financial Counselor plays a crucial role in ensuring that patients have a seamless financial experience by assisting them in understanding their insurance benefits and potential financial responsibilities. This position serves as the primary contact for patients seeking financial guidance.Reporting Structure: The Financial...

  • Pharmacist PRN

    2 days ago

    College Station, Texas, United States Baylor Scott & White Healthcare Full time

    Job SummaryBaylor Scott & White Healthcare is seeking a highly skilled Pharmacist PRN to join our team. As a Clinical Pharmacist PRN, you will provide pharmaceutical care to patients in a clinical setting, ensuring that patient pharmaceutical care meets standards of safety, effectiveness, patient rights, and customer service.Key ResponsibilitiesCompounds and...

  • Insurance Sales Consultant

    2 weeks ago

    College Station, Texas, United States Farmers Insurance Full time

    Job OverviewWe are in search of a dedicated Insurance Sales Consultant to enhance our dynamic team. In this role, you will focus on cultivating new business opportunities and contributing to the growth of our agency. Your primary responsibility will be to assist clients by delivering comprehensive product and service information.As our agency expands, we are...

  • Pharmacist PRN

    4 days ago

    College Station, Texas, United States Baylor Scott & White Healthcare Full time

    Job SummaryWe are seeking a highly skilled Pharmacist PRN to join our team at Baylor Scott & White Healthcare. The successful candidate will provide pharmaceutical care to patients in a clinical setting, ensuring that patient pharmaceutical care meets standards of safety, effectiveness, patient rights, and customer service.Key ResponsibilitiesCompounds and...

  • Traveling Healthcare Professional

    3 days ago

    College Station, Texas, United States Bluepipes Full time

    Job OpportunityWe are seeking an experienced Interventional Radiology Registered Nurse for a travel nursing position in a reputable medical facility.Job DetailsShift: 3x12 hour daysDuration: 13 weeksPay: Competitive weekly rateWe are a nationwide healthcare staffing agency dedicated to providing an elite experience for our travelers. Our agency is featured...

  • Financial Analyst

    4 days ago

    College Station, Texas, United States AccuWeather Careers Full time

    Job SummaryWe are seeking a highly skilled Financial Analyst to join our Financial Planning and Analysis (FP&A) team at AccuWeather Careers. As a key member of our team, you will play a critical role in assisting with financial analysis, budgeting, forecasting, and reporting.Key ResponsibilitiesFinancial Reporting: Support the FP&A team in preparing monthly,...

  • Hospice Care Consultant

    4 days ago

    College Station, Texas, United States AccentCare Full time

    About AccentCareAt AccentCare, we are dedicated to providing exceptional patient care and support to individuals and their families. As a Hospice Care Consultant, you will play a vital role in helping us achieve this mission.Key ResponsibilitiesDevelop and maintain relationships with healthcare professionals, hospitals, and other referral sources to promote...

  • Member Account Consultant

    1 week ago

    College Station, Texas, United States PSECU Full time

    Position Overview:As a vital member of our team at PSECU, you will play a crucial role in managing member accounts and ensuring financial compliance. Your responsibilities will include:Responding to Member Inquiries: Address incoming questions from members through various communication channels, including phone, email, and fax.Account Management: Evaluate...

  • Otolaryngology Locum Tenens Physician

    1 week ago

    College Station, Texas, United States Weatherby Healthcare Full time

    Position OverviewWeatherby Healthcare is seeking a qualified Otolaryngology Physician for a temporary assignment. This role offers a unique opportunity to provide essential healthcare services while enjoying the flexibility of locum tenens work.Key RequirementsActive State License: Candidates must possess a valid and active medical license in the state of...