Patient Financial Counselor

Cure 4 The Kids Foundation • Las Vegas, NV

18h • Onsite

About The Position

We are looking for the brightest and the best to join our team! Are you under challenged in your current position? Do you want to contribute to making a difference in the lives of patients and families on their medical journey? Do you find joy and fulfillment from helping others? Join our team as a Patient Financial Counselor, where you can make a difference every day. Cure 4 The Kids Foundation was voted #10 on the list of the Best Non-Profits to Work for in the U.S. This is a role that requires a multi-disciplinary team approach to solving problems and patient challenges. "That's not my job" or "someone else can do it" is not in our team vocabulary because we are here to be of support to each other. The primary goal is to bring the best patient care and experience for our area's children.

Requirements

• High school diploma or GED.
• Minimum of one (1) year of experience in a Patient/Insurance accounts receivable role or equivalent experience in a healthcare setting.
• Working knowledge of business office procedures and Microsoft applications including, but not limited to, Word and Excel.
• General knowledge of basic medical billing/collection, medical coding, Medicaid and commercial insurances, eligibility verification, coordination of benefits, and third-party operating procedures and practices
• General knowledge of insurance prior-authorizations and referrals.
• Well organized and detail oriented.
• Strong verbal and written communication skills.
• English language skills.

Nice To Haves

• Experience in tertiary patient care setting involving interactions with a variety of medical services, contact with patients and families, and interaction with physicians.
• Experience in assisting patients with drug copay assistance programs and budget plans.
• Experience in oncology, hematology, rheumatology, orthopedics, physical therapy, genetics, and/or radiology.
• Patient Navigator credentialed.

Responsibilities

• Provides financial counseling to help patients and parents reduce their financial barriers in tactical ways, including optimizing insurance coverage, establishing budget plans, and identifying suitable financial assistance programs.
• Assists patients with completion of Charity Care and other assistance applications, including providing application instructions and following up with patients on the requested documentation. Reviews completeness of applications and submits for approval.
• Assists patients with the completion of co-pay assistance, drug assistance, and other available programs to mitigate their financial obligations.
• Answers patient and inter-departmental inquiries on patient balances and billing statements. Educates patients on insurance coverage information.
• Collaborates with organizational social workers and other departments to help patients access internal and external financial assistance resources.
• Follows up and reports the status of patient delinquent accounts based on the established self-pay collection guidelines. Documents each collection action with clear notes.
• Identifies collection issues or trends and escalates them to the appropriate supervisor when assistance is needed.
• Reviews patient account balances to properly post patient payments against related receivables.
• Prepares patient financial-related notices and communications. Reviews, prepares, and submits patient accounts for collections after exhausting all collection efforts.
• Investigates and submits refund requests.
• Maintains the strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Performs other duties as assigned.

Benefits

• One of the most competitive compensation and comprehensive benefit packages in the field of healthcare
• A state-of-the-art clinical and administrative environment

What This Job Offers

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