Financial Counselor

Lifepoint Health • Carrollton, TX

10d

About The Position

The Financial Counselor guides patients through the financial responsibilities resulting from their use of the facility’s services. The counselor assesses patients’ ability to pay, advises them about insurance benefits and financial liability, collects payments, negotiates payment arrangements, secures financing, identifies funding sources, and helps resolve questions about financial obligations.

The role includes verifying insurance benefits accurately and on time; obtaining additional insurance information from patients or guardians; maintaining knowledge of HMO, PPO, Medicaid, Medicare, and commercial insurance reimbursement rates and criteria; estimating patients’ out-of-pocket costs; collecting applicable copayments, coinsurance, and deductibles; and exploring patients’ financial circumstances to establish fair repayment terms. The counselor also works with uninsured patients to identify potential Medicaid eligibility and makes appropriate referrals.

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.
• Experience in healthcare collections or a related field, or 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 unpaid copayments, deductibles, and coinsurance.
• Serve as an additional point of contact for benefit determination within departmental timelines.
• Maintain the self-pay and self-pay-after-insurance work list, work accounts daily, and document activity in the software system.
• Follow up on patient accounts and aim to collect copayments, deductibles, and coinsurance when services are rendered.
• Verify, correct, and complete all admitted patient accounts within 24 hours of admission.
• Gather pertinent financial information to accurately assess patients’ circumstances.
• Work with uninsured patients to 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 information needed to submit a clean claim when charges occur during or after a visit.
• Assess patients’ ability to pay; 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 from patients or guardians, estimate out-of-pocket costs, and explore patients’ financial circumstances to establish 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.
• Apprenticeship programs for eligible employees.
• 401(k) retirement plan.
• Flexible spending and health savings accounts.

What This Job Offers

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