Financial Counselor and Patient Coordinator

Beverly Hills Oncology Me•Beverly Hills, CA

20d•$24 - $30

About The Position

The Financial Counselor and Patient Coordinator is responsible for planning, organizing and coordinating daily financial reconciliation procedures to ensure proper patient financial services, collection of payments and input into process improvement. This role involves providing administrative services such as collecting and posting payments, performing patient financial counseling, establishing payment plans, preparing daily statements, and monitoring patient payment agreements. The position also requires coordination of patient care, including scheduling appointments and managing check-in/check-out processes. A key aspect of the role is managing insurance verification and eligibility, handling authorization processes, and collaborating with other departments to obtain prior authorizations and appeals. The Financial Counselor and Patient Coordinator will also be responsible for determining patient financial responsibility based on insurance information and verifying patient demographic data.

Requirements

High school diploma required, Associate or Bachelors degree highly preferred.
Minimum of two years of patient front office and/or billing experience and knowledge of insurance verification/authorization process required.
Must be familiar with the medical authorization process for all types medical insurance including accessing portals of various health plans.
One year of patient financial counseling experience required.
Exposure in Oncology and/or Imaging setting is highly preferred.
Excellent computer skills and EMR knowledge.
Excellent verbal and written communication skills to communicate with diverse populations including physicians, employees, patients, and families.
Ability to multi-task, work independently and problem solve.
Excellent customer service and problem solving skills to help ensure optimal patient experience.
Knowledge of insurance verification and eligibility; authorization processes and ability to identify different kinds of insurance coverage and limitation.

Nice To Haves

Associate or Bachelors degree highly preferred.
Exposure in Oncology and/or Imaging setting is highly preferred.

Responsibilities

Provide administrative services such as collecting and posting payments such as copays and outstanding balances.
Perform patient financial counseling which includes knowledge of and maintaining all financial assistance programs available, educating patients and assisting in the enrollment process.
Establish patient payment plans in accordance with related policies.
Prepares daily statements for patient collections and meets with all patients with outstanding balances.
Prepares and monitors patients’ payment plan agreements and advises supervisor of collection issues.
Post and reconcile all daily patient payments received through front desk effectively utilizing practice management and EMR as directed.
Coordination of patient care, including scheduling patient appointments and checking patients in and out.
Receive requests for prior authorization and ensure that they are properly and closely monitored within company-set standards.
Collaborate with other departments to assist in obtaining prior authorization /appeals.
Proactively work on prior authorizations that are due to be expired.
Insurance verification for new and current patients, review of incoming authorizations, and accurate input into electronic medical records system (“EMR”).
Responsible for determining patient financial responsibility as determined by the insurance company.
Research and verify patient demographic information through online verification systems.
Verify insurance eligibility; get authorization and ability to identify different kinds of insurance coverage and limitation.
Assists with patient communication when medical coverage authorizations are denied and/or pre-determination is required and monitors when waivers and advance beneficiary forms are required.