Financial Counseling Representative

Shriners Children's
2dRemote

About The Position

The Financial Counseling Representative plays a critical role in ensuring a positive financial experience for patients and families. This position provides comprehensive financial advocacy by assessing eligibility for internal and external financial assistance programs, supporting insured patients facing out-of-pocket cost challenges, and actively reducing financial barriers to care. The representative serves as a trusted liaison between patients, families, clinical teams, and the Benefits Assistance Team while maintaining compliance with all regulatory and organizational policies.

Requirements

  • 3 years of experience in at least one of the following: healthcare financial counseling, insurance verification, patient access or customer service
  • Epic EMR experience
  • High School Diploma/GED

Nice To Haves

  • Associate's Degree in Business, Healthcare Administration or related field
  • Billing experience helpful

Responsibilities

  • Conduct thorough financial assistance screenings using the HEART application and other approved tools to determine eligibility for hospital charity programs and external financial resources.
  • Assist insured patients experiencing financial hardship by evaluating eligibility for deductible, copay, and coinsurance support programs.
  • Manage assigned financial assistance work queues efficiently, ensuring timely and accurate completion and follow-up.
  • Investigate and resolve insurance discrepancies, coverage conflicts, and registration-related issues to prevent downstream denials and billing delays.
  • Communicate clearly, empathetically, and professionally with patients and families regarding financial obligations and available support pathways while maintaining confidentiality.
  • Collaborate with Benefits Assistance, Registration, Revenue Cycle teams, and external agencies to streamline financial clearance and enhance the overall patient financial experience.
  • Monitor cases and documentation to ensure compliance with federal and state regulations, payer policies, hospital charity care standards, and HIPAA requirements.
  • Identify trends in financial hardship and escalate complex cases or operational barriers to leadership for timely resolution and process improvement.
  • Maintain accurate documentation within the electronic health record and related systems to support reporting, audit readiness, and program transparency.
  • Contribute to a culture of patient advocacy by proactively assisting families through stressful financial situations and promoting equitable access to care.

Benefits

  • All employees are eligible for medical coverage on their first day!
  • Employees are eligible for a 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6% after one year of service.
  • Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected.
  • Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more!
  • Coverage is available to employees and their qualified dependents in accordance with the plans.
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