Patient Financial Counselor

CCRM Fertility•Edina, MN
•$22 - $25

About The Position

The Patient Financial Counselor coordinates the financial aspects of patient care while fostering a positive patient experience. The role educates patients about financial services and the process and timeline for receiving payment from insurance, and serves as an accessible resource for financial matters related to their care. The position supports an efficient revenue cycle, patient satisfaction, and improved financial outcomes. The description also refers to the role as Patient Financial Representative and states that it reports to the Patient Engagement Manager.

Requirements

  • High school diploma or GED required.
  • Ability to work weekends, evenings, and holidays on a rotating basis.

Nice To Haves

  • At least one year of medical billing experience preferred.
  • Previous experience in reproductive medicine or women’s health preferred.
  • Prior experience with Athena preferred.

Responsibilities

  • Verify insurance for patients before new-patient appointments and treatment cycles.
  • Confirm insurance benefits are entered in the practice management system and track insurance changes during the course of care.
  • Collect patient payments before scheduled services.
  • Ensure valid insurance information is available in each patient’s chart.
  • Serve as the primary patient contact for financial matters and explain Patient Financial Services guidelines and policies.
  • Address insurance coverage discrepancies with patients and advocate for patients having difficulty with the insurance process.
  • Identify and complete required pre-certifications for general medical, infertility diagnostic, infertility treatment, obstetrical, and other services.
  • Determine and communicate patient financial responsibility based on pre-certification before procedures, and obtain written pre-authorization documentation.
  • Identify patients eligible to proceed with ART care, provide ART financial consultations, and obtain payments before care in accordance with Care Center guidelines.
  • Advise Care Teams about insurance coverage limitations affecting patient care plans.
  • Perform other duties as assigned.

Benefits

  • Generous paid time off and paid holidays.
  • Medical, dental, and vision insurance; health benefits begin the first day of the month following the start date.
  • 401(k) plan with company match, beginning the first of the month following two months of service.
  • Basic and supplemental life insurance.
  • Employee Assistance Program.
  • Short-term disability.
  • Flexible spending accounts, including dependent care and commuter benefits.
  • Health Savings Account.
  • CCRM paid family medical leave, eligible after one year.
  • Supplemental options including critical illness, hospital indemnity, and accident coverage.
  • Professional development, job training, and cross-training opportunities.
  • Bonus potential.
  • Potential overtime pay at time and a half.
  • Holiday differential pay at time and a half.
  • Weekend shift differential pay of $4.00 per hour.
  • Rewards may include flexible work arrangements and region-specific benefits.
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