RCM/Financial Counselor

Eye Care Partners Career Opportunities•Blue Ash, OH

16d•Onsite

About The Position

The Financial Counselor plays a vital role in assisting patients with understanding and managing the financial aspects of their healthcare. This position involves providing personalized financial advice and support to patients regarding their medical bills, ensuring they are informed about payment options, insurance coverage, and financial assistance programs. In addition to advising patients on payment plans and eligibility for financial assistance, the Financial Counselor serves as a liaison between patients and billing departments, ensuring accurate and transparent communication regarding costs. This role requires strong interpersonal and analytical skills to empathetically address patients' concerns while maintaining compliance with organizational policies and applicable regulations.

Requirements

High School Diploma or GED
Experience and/or training, including customer service; or equivalent combination of education
Experience with medical terminology, medical insurance experience (Medicare, Medicaid, and Commercial). Ophthalmic experience preferred.
Must have a working knowledge of ICD- 10 and CPT codes for ophthalmology
Must have a working knowledge of all forms associated with the patient medical record (paper and electronic)
Self-directed, highly motivated, able to multi-task and work under pressure in a fast-paced environment
Must be able to accurately and efficiently handle multiple projects at one time
Professional in appearance and actions
Logical and Critical thinking skills
Enjoys learning new technologies and systems
Detail oriented, professional attitude, reliable
Exhibits a positive attitude and is flexible in accepting work assignments and priorities
Meets attendance and tardiness expectations
Management and organizational skills to support the leadership of this function
Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations
Interpersonal skills to support customer service, functional, and teammate support need
Able to communicate effectively in English, both verbally and in writing
Ability for basic to intermediate problem solving, including mathematics
Basic to intermediate computer operation
Proficiency with Microsoft Excel, Word, PowerPoint and Outlook
Specialty knowledge of systems relating to job function
Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines

Responsibilities

Monitors changes in insurance plans and policies. Inform management of such changes on an immediate basis
Provide financial counseling to patients regarding procedures, surgeries, patient past due balances
Collects and properly posts any pre-payments, deductibles, co-pays and balances due from patients within departmental timelines.
Properly informs management/physician of the patient’s inability to pay for services rendered
Establishes outside financing or internal payment plans for patients as needed
Answers incoming telephone calls from patients regarding billing/collection matters in a timely and efficient manner
Accurately post payments from the patient visit within 24 hours
Verify and document cash collected
Reconcile all cash, credit cards and balance postings to encounters and payments
Enters memos on patient ledger regarding information sent or received from insurance patients
Always exhibits professional demeanor with a positive enthusiastic attitude when representing the practice
Maintains certification, where applicable, and continues to improve skills
Must attend all in-services and webinar training seminars as directed by the Accounts Receivable Manager
Sets goals and objectives for professional growth. Reviews and revises goals on an ongoing basis
Provides input on how to improve customer service, decrease costs and increase revenues for the practice
Supports the practice core values and mission statement to develop, enhance and promote quality customer service through team effort
Exhibits flexibility, sensitivity and respect while maintaining an effective working relationship with all team members
Initiates and completes various funding applications to assist patients with balances
Appropriately documents and reports payment information
Educates patients about payment options and financial assistance
Processes financial assistance applications from patients
Consistently interacts, with sensitivity, to patients/their families and is responsive to individual patient needs
Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
Performs other duties that may be necessary or in the best interest of the organization.