Access Services Financial Coun

Baylor Scott & White Health•Lakeway, TX

37d

About The Position

The Financial Counselor performs financial clearance tasks, including verifying insurance and providing price estimates. The role resolves disputed billing issues through patient interaction, serves as an expert in financial assistance policies and facility collections, and supports special projects. The counselor works with facility leadership to financially clear and screen patients, gathers demographic and financial information, and helps patients understand insurance claims and billing. The role also supports financial assistance screening, pre-service payment arrangements, pre-authorization, and referral requirements.

Requirements

High school diploma or GED equivalent.
Three years of healthcare experience or education equivalency.
Ability to problem-solve and use critical thinking.
Good listening, interpersonal, and communication skills, with professional, pleasant, and respectful telephone etiquette.
Ability to maintain a professional demeanor in stressful and emotional environments, including situations involving crime, behavioral health, suffering patients, and life-or-death circumstances.
Ability to communicate empathetically and effectively with patients and families during traumatic events while providing exceptional customer service.
Ability to manage multiple, changing priorities effectively and in an organized manner.
Excellent data entry, numeric, typing, and computer navigation skills.
Basic computer skills, including Microsoft Office and Excel.

Responsibilities

Work closely with facility leadership to ensure patients are financially cleared and screened.
Interview patients 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 complex system policies, including financial assistance, limited plan, point of service, and out-of-network policies.
Obtain and screen guarantor financial information for financial assistance, or refer patients to appropriate public assistance resources.
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.
Contact physician offices and patients to ensure pre-authorization and referral requirements are met before the service date.
Review and interpret payer explanations of benefits to help patients and guarantors understand claims processing or service denials.
Resolve disputed billing issues through patient interaction.
Support special projects.