Financial Services Advisor

2 months ago

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

The Financial Counselor plays a crucial role in managing 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 significant interaction with patients. Additionally, the Financial Counselor acts as a subject matter expert in financial assistance policies, point of service collections, and supports various special projects.

PRIMARY RESPONSIBILITIES
  • Collaborates closely with facility leadership to ensure comprehensive financial clearance and screening for all patients.
  • Conducts interviews with patients to gather essential demographic and financial information for registration, insurance verification, pre-certification, and billing processes.
  • Accurately records patient demographic details while reviewing past accounts and accounts with upcoming service dates.
  • Adheres to and implements several intricate system policies, including financial assistance, limited plans, point of service, and out-of-network guidelines.
  • Obtains and evaluates guarantor financial information for assistance and refers patients to appropriate public assistance resources.
  • Provides estimates for procedures and services, calculates payment obligations, and negotiates pre-service payments in accordance with financial clearance protocols.
  • Establishes payment plans for both future and past services rendered.
  • Reviews upcoming schedules to confirm that pre-authorizations and pre-payments have been collected.
  • Facilitates communication with physician offices and patients to ensure that pre-authorization and referral requirements are satisfied prior to service dates.
  • Analyzes and interprets explanations of benefits from payers to assist patients and guarantors in understanding claims processing or service denials.
KEY ATTRIBUTES FOR SUCCESS
  • A minimum of 3 years of experience in healthcare or equivalent educational background is required.
  • 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-stress and emotionally charged environments, including those involving crime, behavioral health, and critically ill patients.
  • Exhibits a high level of empathy and effectively communicates with patients and families during distressing situations, showcasing exceptional customer service skills.
  • Proven capability to manage multiple and 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.
EMPLOYEE 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.
  • Accrual of paid time off starting from day one.
EDUCATIONAL AND EXPERIENCE REQUIREMENTS
  • EDUCATION - High School Diploma or GED Equivalent.
  • EXPERIENCE - Minimum of 3 years in a relevant role.

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