PATIENT FINANCIAL COUNSELOR

Job Description

Key Responsibilities:

Financial Counseling: Provide clear and comprehensive financial counseling to patients after, during, and after their healthcare services. Explain insurance coverage, out-of-pocket costs, payment options, and potential financial assistance programs.

Insurance Verification: Verify insurance eligibility and benefits, ensuring that patients are aware of their coverage and out-of-pocket costs. Assist patients in understanding what is covered by their insurance plan.

Financial Assistance: Assess patients’ financial situations and assist them in applying for financial assistance programs, sliding scale fees, or charity care when applicable.

Billing Support: Help patients understand their medical bills, including itemized charges, insurance payments, and outstanding balances. Guide patients through the payment process and discuss available payment plans.

Payment Plans: Set up and manage payment plans for patients, ensuring they are aware of payment schedules and the available options to pay their bills.

Documentation: Accurately document all interactions with patients and insurance companies in the patient management system. Maintain detailed records of financial assistance applications and payment plans.

Customer Service: Offer empathetic, professional, and timely support to patients with financial concerns. Address and resolve patient inquiries regarding billing and financial matters.

Collaboration: Work closely with the billing, insurance, and clinical teams to ensure a smooth process for patients from pre-service to post-service care.

Compliance: Adhere to all federal and state regulations, as well as hospital policies, when discussing financial information and managing patient accounts.Qualifications:

Education: High School diploma or equivalent required; Associate’s or Bachelor’s degree in Finance, Healthcare Administration, or related field preferred.

Experience: 2+ years of experience in a healthcare or insurance-related field, preferably with a focus on patient financial counseling or billing.

Skills:

Strong knowledge of insurance plans, billing procedures, and healthcare financial policies.

Excellent communication and interpersonal skills, with the ability to handle sensitive financial discussions.

Ability to explain complex financial and insurance information in a clear and understandable manner.

Proficiency with medical billing software and Microsoft Office Suite (Excel, Word, etc.).

Strong problem-solving and organizational skills.

Certifications: Certification as a Patient Financial Counselor (such as through the National Association of Healthcare Access Management) is a plus.Physical Requirements:

Ability to work in a fast-paced office environment.

Sit for extended periods and use a computer for prolonged times.

Full-time