Financial Counselor

UHS • Grand Rapids, MI

12d • Onsite

About The Position

The Financial Counselor is responsible for reviewing patients’ insurance eligibility, benefits, and authorizations; explaining insurance coverage; and collecting any remaining patient balances. The role is based at Forest View Hospital, a 108-bed psychiatric facility in Grand Rapids, Michigan, serving children, adolescents, and adults.

The Financial Counselor reviews admissions within 24 hours to verify the accuracy of primary and secondary insurance information, benefits, demographics, and intake scans. The role records insurance benefits, approvals, and payments in the MS4 patient record; identifies potential uncompensated cases and promptly notifies the Business Office Manager; determines patient copays, deductibles, and plan limitations; conducts financial interviews and arranges payments; and uses the accepted Length of Stay formula to guide collection activity. The Counselor also helps self-pay patients enroll in Medicaid or determine eligibility for other insurance benefits and enrollment. The position requires reporting safety concerns and following hospital safety policies.

Requirements

• Bachelor’s degree.
• 1–3 years of related experience, such as medical billing or medical collections.
• Ability to communicate effectively with patients, family members, coworkers, and supervisors.
• Ability to maintain the confidentiality of sensitive and complex information.
• Strong knowledge of financial counseling, payment planning, and collection techniques.

Responsibilities

• Review admissions within 24 hours to verify the accuracy of primary and secondary insurance information, benefits, demographics, and intake scans.
• Create a new fact sheet when corrections or changes are needed.
• Accurately code and enter insurance benefit verifications, approvals, and payments in the MS4 patient record.
• Identify potential uncompensated cases and notify the Business Office Manager in a timely manner.
• Determine applicable patient copays, deductibles, and plan limitations, including calendar-year and lifetime limits.
• Conduct financial interviews and arrange payment.
• Use the accepted Length of Stay (LOS) formula to determine appropriate collection activity.
• Assist self-pay patients with Medicaid enrollment or determine eligibility for other insurance benefits and enrollment.
• Report safety concerns and follow the hospital’s safety policies.
• Explain insurance coverage to patients and collect remaining patient balances.

Benefits

• Medical, dental, vision, and prescription drug plans.
• 401(k) with company match and discounted stock plan.
• Paid time off (PTO).
• Basic life insurance equal to one times salary.
• Short-term disability and long-term disability.
• Student loan reimbursement of up to $200 per month.
• Tuition reimbursement.
• Loan forgiveness program.
• Pet insurance.

What This Job Offers

• Job Type: Full-time