Financial Counselor (3055)

US Heart & Vascular•Houston, TX

3d•Onsite

About The Position

US Heart and Vascular is in need of a Financial Counselor to join our team at Houston Cardiovascular Associates in Houston, TX. This role serves as the primary point of contact for patients regarding financial responsibility and assistance inquiries prior to services. The Financial Counselor will efficiently verify insurance benefits, analyze coverage, and calculate good faith estimates. They will educate patients on their financial obligations through various communication channels and perform pre-service collections. Additionally, the role involves screening self-pay and underinsured patients, setting up payment plans, and documenting activities in the EMR billing system. Maintaining productivity standards and ensuring compliance with regulatory requirements such as OSHA, HIPAA, and Federal Fraud and Abuse laws are key aspects of this position.

Requirements

Familiarity with medical office procedures and billing practices
Proficient in clinical documentation review for alignment with insurance authorization requirements
High School Diploma or equivalent required

Nice To Haves

Associate’s degree is preferred but not required
Minimum of 1 year experience in the same role, or related field in a healthcare setting is preferred but not required
eCW experience is preferred but not required

Responsibilities

Serve as the point of contact for all financial responsibility and assistance related questions from patients prior to the service being rendered.
Efficiently and accurately verify and analyze benefits of eligibility and coverage using available tools.
Determine patients’ financial and insurance status to calculate a good faith estimate based on scheduled services.
Educate patients about their financial responsibility before services via phone, email, text, portal messages, or other approved modes of communication.
Perform pre-service collections via phone, portal, or in person.
Screen self-pay and underinsured patients to identify their ability to pay and implement affordable payment plan agreements for scheduled or prior services rendered.
Assess the current financial situation of patients through the verification of patient insurance benefits; serving as the technical expert in confirming patients benefit coverage.
Initiate the financial screening process as appropriate to evaluate eligibility for assistance programs.
Set-up patients with payment plans in practice management system as appropriate.
Perform accurate and timely documentation of applicable activities in the EMR billing system.
Maintain or exceed baseline productivity standards established by RCM Shared Services within 90 days of employment and onwards.
Responsible for compliance with all regulatory requirements and/or guidelines. These requirements/guidelines include, but are not limited to: OSHA, HIPAA, Federal Fraud and Abuse laws.