Financial Counselor

Job Description

A Financial counselor serves as the liaison between the patient and the practice by coordinating payments, assisting with financial responsibilities, and ensuring compliance with insurance policies.

Primary Job Duties & Responsibilities

• Maintains open communication with insurance companies regarding pre-certification and prior authorization processes.
• Reviews patient schedules and treatment plans to establish financial responsibility.
• Verifies patient insurance benefits and updates EMR and billing software accordingly.
• Communicates with patients about their insurance coverage and financial obligations.
• Works with external entities to ensure timely completion of forms and paperwork.
• Assists patients with applying for financial aid through various programs.
• Ensures compliance with federal and state laws related to patient care, billing, and collections.
• Manages work area and company equipment in a safe and efficient manner.
• Performs other duties as assigned.

Job Qualifications And Requirements

• Education: High school diploma or equivalent required. Further education or degree preferred.
• Certifications/Licenses: Minimum of two years prior experience in healthcare field, preferably in a clinical or business office setting required. Prior healthcare customer service, medical terminology, insurance verification, pre-certification and prior authorization, cash handling, and monetary collection experience preferred.
• Core Capabilities: Analytical skills, critical thinking, problem-solving, decision-making, planning, time management, and organizational skills. Excellent verbal and communication skills, including the ability to provide balanced feedback and manage sensitive and confidential material. Proficiency in MS Office applications.