Financial Counselor - MUSCP

Medical University of South CarolinaMount Pleasant, SC
Onsite

About The Position

Responsible for evaluating scheduled patient visits to identify and resolve funding/coverage with either assistance applying for Medicaid, disability, financial assistance, insurance coverage, or resources identified revealing the ability to pay out of pocket for MUHA & UMA services; and provide patients co-payment/deductible/deposit information to be paid prior to services rendered. Function as integral member of the health care team to reflect a culture of cooperation, enthusiasm and mutual respect. Notify patients of copayments/deductibles/deposits prior to services being rendered and collect when applicable. Provide estimates using the fee estimation tool in Epic, assist in resolution with processing of Financial applications. Minimizes patient complaints through effective and accurate communication and education related to patient out of pocket costs for hospital and physician services. Proactively identifies discrepancies within EPIC Tool and works with appropriate teams to resolve. Accepts payments made in advance of service and hands off to appropriate billing office for posting to patient account. For patient/families with insurance, calculate patient estimate based on plan, benefits and out of pocket thresholds; discuss and finalize method of payment. Ensures all activities are documented within EPIC. Obtain and record accurate patient data, assure compliance with all state and federal regulations to include informing patients about our programs (FAP, Cobra.) Work closely with internal and external peers and communicate at a high level of professionalism. Interact with State workers and external partners to accomplish work efforts. And, ensure that all the patient accounts are appropriately processed and worked for financial counseling, including noting all areas so that work is visible to the Health Care Team. Have the ability to understand and interpret credit bureau data and possess strong communication skills to include both formal and informal communication. To work accounts assigned to patient work queues in Epic meeting departmental established expected metrics. Compliant with all MUSC Health Policies and Procedures. Other duties as assigned.

Requirements

  • High school diploma or equivalent
  • 0 – 6 months of experience
  • Ability to work independently with minimum supervision.
  • Ability to analyze and determine necessary steps to provide expected outcomes and follow through with actions.
  • Ability to understand and interpret credit bureau data.
  • Strong communication skills, both formal and informal.
  • Ability to perform job functions while standing, walking, and sitting.
  • Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders.
  • Maintain 20/40 vision corrected.
  • Ability to see and recognize objects close at hand and at a distance.
  • Ability to work in a latex-safe environment.
  • Ability to work indoors.
  • Ability to frequently lift and/or carry objects weighing 20 lbs (+/-) unassisted.
  • Ability to lift from 36" to overhead 15 lbs.
  • Infrequent ability to work in dusty areas and confined/cramped spaces.

Nice To Haves

  • If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

Responsibilities

  • Evaluate scheduled patient visits to identify and resolve funding/coverage.
  • Assist patients in applying for Medicaid, disability, financial assistance, or insurance coverage.
  • Identify resources for patients who can pay out of pocket for MUHA & UMA services.
  • Provide patients with co-payment/deductible/deposit information prior to services rendered.
  • Notify patients of copayments/deductibles/deposits and collect when applicable.
  • Provide estimates using the fee estimation tool in Epic.
  • Assist in the resolution and processing of financial applications.
  • Minimize patient complaints through effective and accurate communication and education related to patient out-of-pocket costs.
  • Proactively identify discrepancies within the EPIC Tool and work with appropriate teams to resolve them.
  • Accept payments made in advance of service and hand them off to the appropriate billing office for posting.
  • Calculate patient estimates based on plan, benefits, and out-of-pocket thresholds for insured patients.
  • Discuss and finalize payment methods with patients.
  • Ensure all activities are documented within EPIC.
  • Obtain and record accurate patient data.
  • Ensure compliance with all state and federal regulations.
  • Inform patients about programs such as FAP and Cobra.
  • Work closely with internal and external peers and communicate professionally.
  • Interact with State workers and external partners to accomplish work efforts.
  • Ensure all patient accounts are appropriately processed and worked for financial counseling.
  • Understand and interpret credit bureau data.
  • Work accounts assigned to patient work queues in Epic, meeting departmental expected metrics.
  • Comply with all MUSC Health Policies and Procedures.
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