Financial Counselor

Lifepoint Health • Carrollton, TX

11d

About The Position

The Financial Counselor guides patients through the financial responsibilities associated with the facility’s services. The role assesses patients’ ability to pay; explains insurance benefits and financial liability; collects payments; negotiates payment arrangements; secures financing; identifies funding sources; and addresses questions about financial obligations. The counselor verifies insurance benefits accurately and promptly, obtains additional insurance information from patients or guardians, maintains knowledge of HMO, PPO, Medicaid, Medicare, and commercial insurance reimbursement rates and criteria, estimates patients’ out-of-pocket costs, collects applicable payments, and explores financial circumstances to establish fair repayment terms.

The position also maintains and follows up on patient accounts, supports timely benefit determinations and billing processes, and helps uninsured patients identify potential Medicaid eligibility and access appropriate referrals. The role may require flexible hours and overtime. Crisis Prevention Training (CPI) must be completed within 30 days of employment and before any patient contact.

Requirements

• High school graduate or equivalent preferred.
• Previous experience in healthcare collections or a related field, or a combination of education, training, or experience in a healthcare business office setting, preferred.
• Valid driver’s license preferred.
• Crisis Prevention Training (CPI) required within 30 days of employment and before any patient contact.
• May be required to work flexible hours and overtime.

Nice To Haves

• High school graduation or equivalent.
• Previous experience in healthcare collections or a related field, or a combination of education, training, or experience in a healthcare business office setting.
• Valid driver’s license.

Responsibilities

• Provide accurate account and billing information to required departments within specified timelines.
• Implement collection measures for uncollected co-pays, deductibles, and coinsurance.
• Serve as an additional point of contact for benefit determinations within departmental timelines.
• Maintain the self-pay and self-pay-after-insurance work lists, work accounts daily, and document activity in the software system.
• Follow up on patient accounts to collect co-pays, deductibles, and coinsurance, with the goal of collecting them when services are rendered.
• Verify, correct, and complete admitted patient accounts within 24 hours of admission.
• Gather pertinent financial information to assess patients’ circumstances accurately.
• Help uninsured patients identify potential Medicaid eligibility and make appropriate internal or external referrals.
• Process insurance requests from other departments and physician billing offices in a timely manner.
• Inform billing and collections staff of pertinent information needed to submit a clean claim when charges occur during or after a visit.
• Assess patients’ ability to pay and explain insurance benefits and financial liability.
• Collect payments, negotiate payment arrangements, secure financing, identify funding sources, and address questions about financial obligations.
• Verify insurance benefits, obtain additional insurance information, research reimbursement rates and criteria, estimate out-of-pocket charges, and explore fair repayment terms.

Benefits

• Affordable medical, dental, and vision plans for full-time employees and their families.
• Competitive paid time off.
• Tuition reimbursement, continuing education opportunities, and apprenticeship programs for eligible employees.
• 401(k) retirement plans.
• Flexible spending and health savings accounts.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED