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

• 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 insurance benefits and financial responsibilities, including discussing payment plans and assistance applications.
• Works with external entities to ensure timely completion of forms and items needed.
• Assists patients with completing necessary paperwork for financial aid and grant-funded programs.
• Understands and complies with relevant laws and regulations, including patient care, rights, safety, billing, and collections.
• Ensures work area and records are maintained in a neat and orderly manner.
• Adheres to company policies and procedures, including revenue cycle policies and procedures.

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 experience in healthcare customer service, medical terminology, insurance verification, pre-certification and prior authorization, cash handling, and monetary collection is 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.

Standard Core Workdays/Hours

Monday to Friday, 8:00 AM – 5:00 PM. Occasional overtime and weekend shifts based on location hours and operational needs.