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 coverage.

Primary Job Duties & Responsibilities

• Maintain open communication with insurance companies regarding pre-certification and prior authorization processes.
• Review patient schedules and treatment plans to establish financial responsibility.
• Verify patient insurance benefits and update EMR and billing software accordingly.
• Communicate with patients about insurance benefits and financial responsibilities, including discussing forms and payment plans.
• Collaborate with external entities to ensure timely completion of forms and items needed.
• Assist patients with completing necessary paperwork for financial aid and grant-funded programs.
• Understand and comply with relevant laws and regulations, including patient care, rights, safety, billing, and collections.
• Perform other duties as assigned.

Job Qualifications And Requirements

• Education: High school diploma or GED required. Further education or degree a plus.
• Certifications/Licenses: 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: Solid problem-solving, analysis, decision-making, planning, time management, and organizational skills. Detail-oriented with the ability to exercise independent judgment. Interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation, and diversity awareness. Effective communication skills, including oral, written, and presentation abilities. Customer service and organizational awareness. Self-management, including time management, stress management, and professional development. Computer proficiency in MS Office Word, Excel, PowerPoint, and Outlook.