Patient Financial Counselor

CCRM Fertility•Lone Tree, CO

15d•Hybrid

About The Position

The Patient Financial Counselor plays a vital role in managing the financial aspects of patient care and services. Their impact extends across various areas, contributing to the overall efficiency, patient satisfaction, and financial health of CCRM Fertility. Their efforts contribute to an efficient revenue cycle, increased patient satisfaction, and improved financial outcomes, ultimately enhancing the overall patient experience. The Patient Financial Representative coordinates the financial aspects of a patient’s care while fostering a positive and memorable patient experience. This role educates patients on financial services and the steps/timeline to receive payment from the patient(s) insurance and must be accessible to patients to serve as a resource for all financial matters regarding their care. The Patient Financial Representative reports to the Business Office Manager.

Requirements

High School Diploma or GED required.
1+ year medical billing experience preferred.
Ability to work weekends, evenings, and holidays, on a rotating basis.

Nice To Haves

Previous experience in reproductive medicine or Women’s health preferred.
Prior experience with Athena preferred.

Responsibilities

Insurance verifications for all patients prior to the New Patient appointment and treatment cycle.
Verify insurance benefits have been entered in the practice management system and track any insurance changes that occur during their course of care.
Collect payments from patients prior to the scheduled service.
Ensure valid insurance information is available in the patient’s chart.
Serve as the patient’s primary point of contact for financial matters and ensure the patient knows the Patient Financial Services guidelines and policies during the course of care.
Address insurance coverage discrepancies (following verification) with the patient and serve as an advocate for patients experiencing difficulty with the insurance process.
Identify and perform pre-certification(s) required by the patient’s insurance for general medical service, infertility diagnostic service, infertility treatment service, obstetrical care service, etc.
Determine and communicate patient financial responsibility based on pre-certification, prior to any procedures and obtain written pre-authorization documentation.
Identify patients eligible to proceed with ART care, provide ART Financial Consult, and obtain payments prior to care, in accordance with Care Center guidelines.
Serve as a resource to Care Teams regarding insurance coverage limitations on a patient’s care plan.
Other duties assigned.

Benefits

Generous Paid time-off (PTO) and paid holidays
Medical, Dental, and Vision Insurance
Health benefits eligible the first day of the month following your start date.
401(k) Plan with Company Match (first of the month following 2 months of service)
Basic & Supplement Life Insurance
Employee Assistance Program (EAP)
Short-Term Disability
Flexible spending including Dependent Care and Commuter benefits.
Health Savings Account
CCRM Paid Family Medical Leave (eligible after 1 year)
Supplemental Options (Critical Illness, Hospital Indemnity, Accident)
Professional Development, Job Training, and Cross Training Opportunities