Financial Counselor

Found in: Resume Library US A2 - 6 days ago


Houston Texas, United States CommonSpirit Health Full time
Overview:
Baylor St. Luke’s Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. Our team’s efforts have led to the creation of many research programs and initiatives to develop advanced treatments found nowhere else in the world. In our commitment to advancing standards in an ever-evolving healthcare environment our new McNair Campus is designed around the human experience—modeled on evidence-based practices for the safety of patients visitors staff and physicians. The 27.5-acre campus represents the future of healthcare through a transformative alliance focused on leading-edge patient care research and education. Our strong alliance with Texas Heart® Institute and Baylor College of Medicine allows us to bring our patients a powerful network of care unlike any other. Our collaboration is focused on increasing access to care through a growing network of leading specialists and revolutionizing healthcare to save lives and improve the health of the communities we serve.

Responsibilities:
JOB SUMMARY / PURPOSE
The Financial Counselor assists patients by providing information to patients who require assistance navigating through
their financial options.

ESSENTIAL KEY JOB RESPONSIBILITIES
1. Provide information to patients on costs, payment methods and alternatives to payments, including charity care.
2. Work with clinic staff to proactively identify patients with potential need for financial assistance.
3. Counsel patients on billing processes, hospital and clinic statements and availability of financial assistance.
4. Document financial arrangements for future care.
5. Provide answers to reimbursement questions regarding health-plan eligibility, benefit issues, co-pay requirements
and medical referral requirements.
6. Receive and process charity care and/or financial assistance applications.
7. Work with health insurance providers to determine coverage and benefit limits.
8. Prepare estimates of procedures, calculates payments requirement, and informs patient of acceptable payment
arrangements on balance, both current and previous.
9. Verify financial information to determine insurance coordination of benefits, pre-certification/prior authorization
requirements.
10. Explain alternative medical financing and assists in completion of applications and/or contracts in order to meet
patient needs while assuring maximum reimbursement.
11. Perform other duties as assigned

Qualifications:
Required Education and Experience

* High school diploma or equivalent required.
* 2 – 4 years related experience required.

 

Required Minimum Knowledge, Skills, Abilities
and Training

* Knowledge of clinic financial options, payment alternatives
and insurance billing/authorization requirements
* Knowledge of federal and state payor requirements,
including Medicare, DSHS, HMO/PPO Contracts.
* Knowledge of the meaning and usage of medical
terminology, abbreviations and coding protocols (e.g./ ICD-10)
sufficient to perform the duties of the position.
* Strong analytic, organizational, communication and
interpersonal skills.
* Demonstrated knowledge of accounting, credit and
collection laws and fundamentals, and current insurance and
government financial assistance programs and regulations.
* Possess a strong work ethic and a high level of
professionalism.
* A team player who handles multiple projects simultaneously
in a fast paced environment.


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