Counselor - Infusion Financial

Responsibilities

• Ensures that an account is established for every scheduled infusion patient.
• Obtains complete and accurate patient demographics, verifies insurance eligibility and benefits and verifies information with the patient or representative.
• Calculates and provides out of pocket liability for planned services and prepares Medicare required documentation as necessary.
• Delivers excellent customer service via phone, email, or video encounters with patients.
• Collaborates with other parties or departments as needed.
• Maintains a minimum accuracy rate on reviewed accounts as defined by departmental standards.

Requirements

• Creates and/or updates hospital account.
• Obtains and enters hospital information system required patient demographics and insurance information in a timely manner after service is scheduled.
• Verifies patients’ insurance coverage, eligibility, and Point of Service financial obligation for all scheduled services, and documents the system in detail.
• Adheres to all third party payer requirements for both government and commercial payers.
• Determines insurance eligibility and coverage.
• Communicates current Medicare requirements, HIPAA compliance and reimbursement criteria.
• Collaborates with Medicaid vendor for those patients with no insurance or secondary/supplemental insurance.
• Contacts patients to verify demographic information and perform financial counseling prior to time of service.
• Collects patient responsibility due, provides information on payment plans and financial assistance as necessary.
• Follows department and network policies concerning discounts, package rates and basic financial assistance.

Qualifications

• High School Diploma or GED Required.
• Associates in related healthcare or business field Preferred.
• Experience: 1 year in healthcare field including medical office insurance/front desk, hospital registration, hospital business office (billing or collections) Required or 3 years in healthcare field including medical office insurance/front desk, hospital registration, hospital business office (billing or collections) Preferred.