Patient Financial Counselor (Frisco)

Scottish Rite for Children•Frisco, TX

7d•Onsite

About The Position

Our patients are our number one priority! We're committed to giving children back their childhood! This role is located in the Frisco Ambulatory Surgical Center and operates Monday through Friday from 8:00 am to 4:30 pm. The Patient Financial Counselor will accurately process charity adjustments based on Crayon Care enrollment status, identify the greater discount between AGB and charity discount, and process Crayon Care applications according to hospital charity policy. They will also add insurance coverage, update the billing system, document information in the medical record, and maintain knowledge of state managed care plans to screen self-pay patients for Medicaid and CHIP eligibility. This role involves managing inquiries about payments, charity care, insurance benefits, billing disputes, prior authorizations, patient complaints, estimates, and payment plans. The counselor will also assist families with changing managed care plans, explain bills and statements, manage registration and claims corrections, and process service estimates. Additionally, they will provide departmental coverage as needed, support hospital initiatives, and adhere to organizational and HIPAA guidelines, including privacy practices, patient confidentiality, and patient rights. Strong communication, teamwork, and adherence to organizational core values are essential.

Requirements

High school diploma required
Two to five years’ experience working in hospital patient access and/or billing, physician office billing and collections, or an equivalent combination of relevant education and/or experience
Strong analytical skills preferred

Nice To Haves

Bachelor's degree preferred
Bilingual preferred

Responsibilities

Accurately process charity adjustments based on Crayon Care enrollment status, identifying the greater discount between the Amount Generally Billed (AGB) and the charity discount.
Provide and accurately process Crayon Care applications based on hospital charity policy and send appropriate correspondence letters to patients’ families.
Add insurance coverage and update the billing system to reflect the insurance status of the patient including pharmacy coverage when needed.
Appropriately document information in the medical record consistent with departmental standards.
Maintain working knowledge of state managed care plans and screen self-pay patients for possible eligibility on Medicaid and CHIP programs.
Manage incoming inquiries regarding payments, charity care, insurance coverage benefits, billing disputes, prior authorizations, patient complaints, outpatient and surgical estimates, payment plans, and any other patient family request.
Work with families by providing information on changing manage care plans as needed.
Explain bills, itemized statements, and any other patient correspondence accordingly.
Manages all necessary registration and claims corrections that may arise to ensure accurate billing.
Accurately process estimates for services based on patients benefits or non-benefits.
Assist with departmental coverage when needed.
Supports hospital and departmental initiatives, change efforts, and improvement goals.
Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality, and patients’ rights, guides in this area.
Engages in strong communication, acts as team player in supporting mission and vision of organization, and abides by organization core values.