Financial Counselor (Full-Time)

OrthoNebraska•Oakview, MO

52d

About The Position

The Financial Counselor works with revenue cycle teams and patients to provide timely, accurate financial information. The role supports patients with estimates for upcoming services, financial assistance, extended payment plans, and other financial questions. The position serves as a patient advocate and follows Patient Financial Services policies and procedures. The schedule is 40 hours per week, Monday through Friday, 8:00 a.m. to 4:30 p.m.

Requirements

High school diploma or GED.
At least 3 years of experience in healthcare in a financial counseling-related role.
Strong time-management ability.
Ability to demonstrate calm, rational thinking and communicate detailed explanations clearly and concisely.
Ability to multitask amid interruptions in a fast-paced environment.
Ability to read payor contracts and understand insurance terms such as deductible, out-of-pocket, coinsurance, and copay.
Must pass a background check.
Must successfully complete a pre-employment physical and drug screen.
Must obtain active licensures per job requirements.

Responsibilities

Serve as a patient advocate.
Work with external parties to verify patients’ insurance coverage before services are rendered, using phone calls or online portals.
Determine estimate amounts, complete upfront letters, send them to patients using their preferred method when appropriate, and document the information in patient accounts.
Contact patients or guarantors to explain the pre-payment process, insurance coverage, benefits, financial responsibility, and payment options through their preferred contact method.
Prepare and communicate Good Faith Estimates in accordance with policy for all OrthoNebraska locations.
Provide estimates on request from patients or clinical teams.
Collect clinic and hospital payments when required using online payment applications.
Assist with payment arrangements according to policy.
Review financial assistance applications, make final determinations under the financial assistance policy, and document outcomes in patient accounts.
Apply appropriate account adjustments based on financial conversations.
Prepare Advanced Beneficiary Notices or waivers for requested services that are not covered or are deemed not medically necessary by the patient’s insurer, and inform Patient Access.
Handle inbound and outbound calls about estimates, Good Faith Estimates, payments, and financial assistance.
Complete work queue items in a timely manner.
Maintain patient confidentiality and understand HIPAA regulations.
Participate in performance improvement activities.
Attend and participate in department meetings.
Follow Patient Financial Services policies and procedures.
Inform the Assistant Manager or Manager of patient complaints or issues in a timely manner.
Demonstrate Always TRUE and the OrthoNebraska Way.
Perform other duties as assigned.