Financial Counselor - Healthcare develops and facilitates payment plans for patients to finance medical expenses by coordinating between insurer, third party payer and patient. Confirms level, terms of coverage, and benefit limits with health insurance providers. Being a Financial Counselor - Healthcare advises patients of any alternative sources of funding or assistance available from social service agencies. Prepares and files any documentation needed to complete payment arrangements. Additionally, Financial Counselor - Healthcare may arrange for referrals or second opinions. Has general knowledge of insurance terms and practices. Requires a high school diploma. Typically reports to a supervisor or manager. The Financial Counselor - Healthcare works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Financial Counselor - Healthcare typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Job Summary
The Financial Counselor performs the quality control function for the clinic, ensuring all pertinent information is available and accurately documented, allowing for timely and efficient billing. These activities include generating weekly status reports, communication with Revenue Cycle Director, monitoring accounts for proper documentation of third party review notification, authorizations, insurance verifications, collection of deposits and self-pay balances, computer update of accounts and the collection of verification of relevant patient data.
Duties
Qualifications
1. A high school diploma or its equivalent in required
2. Two years of hospital experience and working knowledge of all patients accounting functions, including admission registration
3. Demonstrated experience in credit, collection and billing is required, preferably in a hospital or clinic setting
4. Prior work experience operating a personal computer, in house computer system and other office equipment in required
5. Ability to interpret billing manuals, insurance and/or other third-party coverage
6. Understanding of the third-party review process
7. Understanding of payer funding and authorization procedures to ensure payment
8. Understanding of government/state payers, including eligibility factors
9. Knowledge of medical and insurance terminology is required
10. Ability to type 45 WPM
11. Must be proficient in the use of office machines, including computers
12. Must have excellent interpersonal and telephone skills
13. Must have effective written and verbal communication skills
14. Must possess patient interview techniques
15. Must obtain the ability to prioritize workload and possess ability to meet tight time frames
16. Must obtain the ability to work under minimal supervision, is detail oriented and possess
problem-solving skills
17. Must be able to withstand a frequent amount of working at a computer terminal
18. Must obtain the ability to concentrate on detail in the middle of other activities
19. Bilingual highly preferred
20. Must travel to other facilities
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