Patient Financial Counselor

Option Care Health•Oklahoma City, OK

7d•$17 - $26

About The Position

The Patient Financial Counselor is responsible for coordinating payment with patients, collecting outstanding balances, and answering patient billing questions. The Patient Financial Counselor explains benefits, discusses the co-pay and/or out-of-pocket responsibilities with patients, conducts hardship interviews, develops payment plans for patients, processes CODs as well as payments that come in through the mail, and works to obtain and maintain the correct address of patients.

Requirements

Minimum High School Diploma/GED and working knowledge of medical billing and/or collections processes/concepts
Prior experience analyzing data
Strong attention to detail and the production of accurate work
Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates
Ability to work independently and complete assigned activities with limited supervision
Intermediate level skill in Microsoft Excel 2007 or later (for example: formatting text and borders of cells, working with workbooks and worksheets, using range names, referencing cells, sorting, and auto filtering).
Basic level skill in Microsoft Word 2007 or later (for example: such as: creating documents, entering and formatting text, page layouts, creating tables, and adding graphics).
Excellent communication and relationship skills, demonstrated compassion for people
Experience providing customer service to internal and external customers, including meeting quality standards for service

Nice To Haves

Minimum 1-year credit or self-pay collections experience strongly preferred

Responsibilities

Explains the patient’s benefits, discusses co-pays or out-of-pocket responsibilities, and creates a mutually agreed-upon payment plan to ensure payment
Conducts hardship interviews with patients as needed
Receives patient phone calls and answers their questions about invoices/statements received
Contacts patients to request additional information if insurance has terminated or denied charges
Works with pharmacy on active accounts with outstanding balances.
Handles COD arrangements
Generates monthly patient statements
Processes payments that come in through the mail
Researches patient addresses when receiving returned mail, and works to secure accurate billing address
Contacts patients with balances on a daily basis to set up payment arrangements and collect outstanding balances.
If payments are not made per the arrangement, places a follow-up call and may work to set up a new payment arrangement
Analyzes accounts and exhausts all other potential coverages (Medicare, Medicaid, etc.)
Maintains A/R days against Company guidelines for all self-pay accounts.
Decreases A/R over 120 days
Transfers patient balances from internal collections to an outside collection agency once 90 days past due or after Company’s collection efforts have been exhausted.
Serves as the primary contact with outside collections agencies, answering any questions they may have.
Provides excellent customer service to all internal and external customers
Participates in the Company orientation process for roles interacting with the PFC
Works directly with department Manager, ensuring tasks are completed and deadlines are met
Assists department Manager in process development
Performs other duties as assigned by management