Patient Financial Counselor

Advanced Urology Center • Snellville, GA

7d • Hybrid

About The Position

Serves as the primary contact to educate patients and the community about financial assistance and charity care programs, healthcare insurance exchange, or alternate insurance programs as appropriate. Provides price estimates and collects point-of-service payments. Performs access-related duties including validating insurance eligibility/referrals, scheduling, and obtaining authorizations. The role emphasizes strong customer service skills, adherence to policies regarding financial counseling, insurance verification, and scheduling, ensuring a positive patient experience and appropriate reimbursement. It involves maintaining patient confidentiality and integrity to the highest standards.

Requirements

• High School Diploma or GED
• 2 years of experience in financial counseling, insurance verification, billing, equivalent externship, or access-related position.
• Working knowledge of basic medical terminology.
• Ability to work independently in a changing environment and manage stressful situations.
• Must be able to speak and write in a clear and concise manner to convey messages and ensure that the customer understands whether clinical or non-clinical.
• Proficient in Microsoft Word/Excel/Outlook, and insurance websites.
• Requires travel within Metro Atlanta as needed to cover ASC locations and attend mandatory meetings/training.
• Demonstrate a high level of professional conduct with colleagues, superiors, and internal/external customers.

Responsibilities

• Provide exceptional quality care to patients and their families with respect and dignity while providing feelings of safety and security during all types of interactions.
• Interview patients and/or family members to secure information concerning insurance coverage, eligibility, and qualification for various financial assistance programs and/or arrange payment plans.
• Calculate estimated patient responsibility to inform the patient and document in the data entry system, adhering to the Collections Policy to ensure patients are aware that payment is due at time of service.
• Collect payment prior to or on the date of service and be responsible for setting up payment arrangements.
• Maintain tracking of patients on schedule, ensuring that the correct insurance plan, eligibility, and authorization information has been entered into data entry systems accurately, along with documenting applicable notes or reviewing secure notes.
• Provide clinical information as needed, emphasizing medical justification for procedure/service to insurance companies for completion of the pre-certification/authorization process.
• Act as a liaison between clinical staff, patients, physicians, and insurance payors by informing patients of authorization/benefit delays/denials, answering questions, educating patients about their benefits, offering assistance, and relaying messages pertaining to authorization or benefits of procedure/service.
• Reschedule/cancel patients in the data entry system accordingly due to verification/authorization related issues.

What This Job Offers

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