Description

Job Summary

The Patient Financial Counselor works in providing financial counseling to patients, which includes handling face-to-face inquiries about pre-certification, insurance co-payments, coinsurance and deductibles associated with the cost of surgery. This position is also responsible for collecting outstanding patient due balances, communicating with the Billing Department on payments, and assisting patients in exploring options for meeting their financial responsibilities.

Qualifications

Education: High school diploma or GED required; Associate Degree in business, medical billing or related field or the equivalent in experience in knowledge is required. Completion of courses related to medical billing is a plus.

Experience: One or more years’ experience in a healthcare environment, applying customer service behaviors and communication skills required.

Knowledge, Skill and Abilities

Ability to maintain a professional attitude under pressure
Ability to solve practical problems and deal with a variety of situations
Knowledge of billing cycle and accounting concepts
Knowledge of EMR systems and strong computer skills
Familiarity with medical terminology and, ICD-9, ICD-10, and CPT coding
Excellent customer service skills
Displays proper telephone etiquette
Excellent written and verbal communication skills

Duties and Responsibilities

Identifies and contacts patients who may have difficulty meeting their financial responsibility and determines their ability to pay
Verifies insurance coverage, deductibles, copays, coinsurance , authorization requirements and other information relevant to surgeries
Serves as a resource to identify other payment options for patients without insurance or high patient responsibility
Collaborates with patients to establish payment plans in accordance with APC guidelines
Accesses various insurance websites and initiates phone contacts as needed to check eligibility and benefits for proposed services
Documents activity and patient communication on patients’ accounts
Communicates clearly and professionally with patients, both verbally and in writing
Processes payments and prepares deposit as needed
Scans appropriate documentation to patients’ accounts
Adhere to Advanced Pain Care policies and procedures
Has regular and predictable attendance
Perform other duties as assigned

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