Counselor Jobs

About The Position

Requirements

• High School Diploma or GED from accredited institution.
• One (1) year of experience in the same role, or related field in a healthcare setting
• Familiarity with medical office procedures and billing practices
• Proficient in clinical documentation review for alignment with insurance authorization requirements
• Knowledge of federal, state, and local laws, statutes, regulations, codes, and standards related to the area of responsibility.
• Knowledge of the principles, concepts, and theories relevant to the assigned functional area.
• Skill in completing assignments accurately and with attention to detail.
• Ability to communicate clearly and concisely both orally and in writing in English, to various audiences.
• Ability to manage time, organize work, set priorities, meet deadlines, and follow up on work assignments with minimal supervision.
• Ability to work independently, and as a team, to complete daily activities according to the work schedule.
• Working knowledge of Office 365 programs such as Excel, Outlook, Word, PowerPoint, etc.

Responsibilities

• Serves as the point of contact for all financial responsibility and assistance related questions from patients prior to the service being rendered.
• Efficiently and accurately verifies and analyzes the benefits of eligibility and coverage using available tools.
• Determines patients’ financial and insurance status to calculate a good faith estimate based on scheduled services.
• Educates patients about their financial responsibility before services via phone, email, text, portal messages, or other approved modes of communication.
• Performs pre-service collections via phone, portal, or in person.
• Screens self-pay and underinsured patients to identify their ability to pay and implement affordable payment plan agreements for scheduled or prior services rendered.
• Assesses the current financial situation of patients through the verification of patient insurance benefits; serving as the technical expert in confirming patients' benefit coverage.
• Initiates the financial screening process as appropriate to evaluate eligibility for assistance programs.
• Sets up patients with payment plans in practice management system as appropriate.
• Performs accurate and timely documentation of applicable activities in the EMR billing system.
• Maintains or exceeds baseline productivity standards established by RCM Shared Services within 90 days of employment and onwards.
• Is responsible for compliance with all regulatory requirements and/or guidelines. These requirements/guidelines include, but are not limited to: OSHA, HIPAA, Federal Fraud, and Abuse laws.
• Performs other duties as assigned.