Counselor - Infusion Financial

Virtual - Arizona

About the role

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.

This is a work-from-home position that may require staff to commute to NSSC for staff meetings and training. Staff are required to train/work from NSSC for the initial 6 months to 1 year as necessary to become proficient.

Responsibilities

• 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.

Requirements

• High School Diploma or GED (Required)
• Associate’s degree in a related healthcare or business field (Preferred)

Qualifications

• 1 year in a healthcare field including medical office insurance/front desk, hospital registration, or hospital business office (billing or collections) (Required)
• 3 years in a healthcare field including medical office insurance/front desk, hospital registration, or hospital business office (billing or collections) (Preferred)

Benefits

Insurance benefits available.