Financial Counseling Representative

About the role

The Financial Counselor will be responsible for counseling patients or parties responsible for payment. The Patient Financial Counselor will educate patients on their responsibilities and potential options. The PFC is responsible for accurately and compassionately explaining to the patient their financial obligations during the financial counseling session. In addition, the counselor must obtain any necessary pre-certifications or authorizations and assist with any financing or third-party applications. In this role, the successful candidate must display a strong sense of patient care and attention to detail.

Responsibilities

• Explain financial responsibilities for services received, payment options and collection procedures to patients or parties responsible for payment.
• Counsel patients regarding insurance benefits and recommend alternative sources of payment and financial assistance when appropriate.
• Contact insurance carriers or other sources and act as an advocate for the patient.
• Initiate process for collecting prepays due and perform follow up activity to insure maximum collection is achieved.
• Identify hospital, public and private financial assistance programs for patients unable to meet their financial obligations.
• Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in completing assistance program applications and determine eligibility and coverage.
• Notify manager, physician and servicing department of possible delay of service for any elective, urgent admissions, procedures and scheduled diagnostic testing which have not been approved prior to the date of service.
• Maintain accurate documentation of pre-processing information.
• Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency.
• Perform all other duties and projects as assigned.

Qualifications

Required Qualifications:

• High school diploma is required
• At least one year of call center experience
• Attention to detail
• Strong customer service experience
• Ability to multi-task and navigate between multiple systems simultaneously
• Ability to handle a large volume of incoming calls

Desired Qualifications:

• Previous experience as a financial counselor with background in medical terminology preferred
• Understanding of State and Federal assistance

Pay

For this US-based position, the base pay range is $18.59 - $25.44 per hour. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.