Financial Counselor

Texas Health Resources•Denton, TX

10d•Onsite

About The Position

The Financial Counselor will help patients understand their insurance benefits, financial responsibilities, and available assistance programs. This role involves providing accurate cost estimates, setting up payment plans, assisting with financial assistance applications, and advocating for patients by explaining coverage options and working with external agencies to secure funding. The Financial Counselor will also verify insurance benefits, ensure pre-authorization requirements are met, and assist in resolving claim denials. Additionally, this role supports the revenue cycle by managing Financial Clearance Work queues, providing Good Faith Estimates, and maintaining accurate patient demographic and financial data in the EHR system. The position requires superior customer service skills, a friendly, professional, and empathetic approach, and collaboration with clinical teams to ensure financial processes do not delay care. The Financial Counselor will also stay up-to-date on federal, state, and hospital financial policies to ensure compliance and identify process improvements.

Requirements

High School Diploma or Equivalent required.
CPI - Crisis Prevention Intervention Training 90 Days required
Strong communication and interpersonal skills with a focus on customer service and patient advocacy.
Ability to analyze insurance coverage, explain benefits, and solve billing issues with confidence.
Tech-savvy and proficient in Epic, Meditech, Microsoft Office Suite, and financial/registration software.
Strong problem-solving and critical-thinking abilities, especially in high-pressure situations.
Comfortable multi-tasking in a fast-paced environment while maintaining attention to detail.
Ability to work with diverse patient populations and show empathy in sensitive financial discussions.

Nice To Haves

1 year collections experience preferred.
2 years hospital admissions experience preferred.
Other hospital and physician office experience preferred.
Medical insurance verification and scheduling experience preferred.
Birth Certifications experience preferred.
CHAA - Certified Healthcare Access Associate Upon Hire preferred
Bilingual (Spanish) preferred, but not required.

Responsibilities

Helps patients understand their insurance benefits, financial responsibilities, and available assistance programs in a compassionate and clear way.
Provides accurate cost estimates, set up payment plans, and assist with financial assistance applications.
Advocates for patients by explaining coverage options and working with external agencies to secure funding when needed.
Identifies potential coverage gaps and educate patients about their financial options before services are rendered.
Verifies insurance benefits and ensure pre-authorization requirements are met before scheduled services.
Works closely with physician offices, case managers, and patients to prevent unexpected financial burdens.
Assists in resolving claim denials and explain Explanation of Benefits (EOBs) in easy-to-understand terms.
Utilizes online tools, databases, and insurance portals to ensure accurate eligibility verification.
Ensures a smooth patient experience by managing Financial Clearance Work queues and providing Good Faith Estimates (GFE).
Records and maintain accurate patient demographic and financial data in our electronic health records (EHR) system.
Assist patients with Medicaid applications, financial assistance forms, and public assistance programs.
Works alongside facility leadership and revenue cycle teams to maximize reimbursement and minimize financial barriers.
Applies superior customer service skills to set expectations about the patient experience and use THR principles to deliver top-tier customer service.
Maintains a friendly, professional, and empathetic approach when discussing financial matters with patients and families.
Collaborates with clinical teams and patient navigators to ensure financial processes do not delay care.
Serves as a mentor to new team members, sharing knowledge and best practices.
Stays up to date on federal, state, and hospital financial policies to ensure compliance with regulations.
Participate in staff meetings, training sessions, and process improvement initiatives.
Keeps detailed records of financial discussions and transactions in patient accounts.
Identifies ways to improve financial counseling processes to create a better experience for both patients and the organization.