Financial Counselor Team Lead
About The Position
Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
Requirements
- High School Diploma or equivalent
- Previous experience in healthcare financial services and/or revenue cycle preferred.
- Strong knowledge of insurance identification and processes, billing procedures, and healthcare regulations.
- Strong communication skills, bilingual is a plus
- Strong problem-solving skills.
- Proficiency with electronic health record systems and Microsoft Office Suite.
Nice To Haves
- bilingual is a plus
Responsibilities
- Serves as a subject matter expert and provides day-to-day guidance and support to Financial Counselors, ensuring adherence to organizational workflows, productivity expectations, and quality standards.
- Assists with onboarding and training of new team members, reinforces best practices related to insurance verification and patient collections, and helps resolve complex patient or workflow issues.
- Acts as a liaison between leadership and staff by escalating trends, identifying process improvement opportunities, and supporting the implementation of revenue cycle initiatives.
- Promotes a collaborative, patient-focused environment while maintaining accountability for team performance and service excellence.
- Confirms patient’s benefits to determine any patient responsibility prior to procedure, i.e., deductibles, co-insurance and copays.
- Both Professional and facility Outbound calls to patients to educate on financial responsibilities.
- Verifies insurance eligibility prior to services being rendered.
- Attempts to collect and post patient’s responsibility prior to procedure.
- Maintains documentation of all patient interactions in compliance with organizational standards.
- Maintains collection logs by practice for reconciliation purposes
- Collaborates with Practices and RC Leadership
- Collaborates with Surgical Coordinators to support prior authorizations, review for add-on procedure
- Collaborates with Surgical Coordinators to address any barriers to collecting patient financial responsibility.
- Addressing all Revenue Cycle Correspondences, including but not limited to, email, faxes, written, and internal Practice Management communications
- Other duties as assigned.
Benefits
- health, dental, vision, 401(k), etc.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
