Patient Financial Counselor
About The Position
The Patient Financial Counselor provides financial counseling to patients, including responding to face-to-face inquiries about pre-certification, insurance copayments, coinsurance, and deductibles related to surgery costs. The role collects outstanding patient balances, communicates with the Billing Department regarding payments, and helps patients explore options for meeting their financial responsibilities. The counselor identifies patients who may have difficulty meeting their financial obligations, assesses their ability to pay, verifies insurance information and authorization requirements, and helps establish payment plans in accordance with APC guidelines. The position also documents communications and account activity, processes payments, prepares deposits as needed, and scans relevant documentation to patient accounts.
Requirements
- High school diploma or GED required.
- Associate degree in business, medical billing, or a related field, or equivalent experience in knowledge, required.
- One or more years of experience in a healthcare environment applying customer service behaviors and communication skills required.
- Ability to maintain a professional attitude under pressure.
- Ability to solve practical problems and deal with a variety of situations.
- Knowledge of billing cycle and accounting concepts.
- Knowledge of EMR systems and strong computer skills.
- Familiarity with medical terminology and ICD-9, ICD-10, and CPT coding.
- Excellent customer service skills.
- Proper telephone etiquette.
- Excellent written and verbal communication skills.
Nice To Haves
- Completion of courses related to medical billing is a plus.
Responsibilities
- Identify and contact patients who may have difficulty meeting their financial responsibility and determine their ability to pay.
- Verify insurance coverage, deductibles, copays, coinsurance, authorization requirements, and other information relevant to surgeries.
- Serve as a resource for identifying payment options for patients without insurance or with high patient responsibility.
- Collaborate with patients to establish payment plans in accordance with APC guidelines.
- Access insurance websites and initiate phone contacts as needed to check eligibility and benefits for proposed services.
- Document activity and patient communication on patient accounts.
- Communicate clearly and professionally with patients, verbally and in writing.
- Process payments and prepare deposits as needed.
- Scan appropriate documentation to patient accounts.
- Adhere to Advanced Pain Care policies and procedures.
- Maintain regular and predictable attendance.
- Perform other duties as assigned.
- Communicate with the Billing Department regarding payments.
- Respond to face-to-face inquiries about pre-certification, insurance copayments, coinsurance, and deductibles associated with surgery costs.
- Collect outstanding patient due balances and assist patients in exploring options for meeting their financial responsibilities.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
