Financial Counselor

About the Role

The Financial Counselor will work directly with and on behalf of patients requiring assistance with payment plans, charity applications, insurance, and billing or balance questions. The role ensures all patient due balances are paid in full, resolved through other means, or addressed appropriately while maintaining a high level of customer service.

Responsibilities

• Monitors and maintains patient due balance accounts, including assisting with billing and insurance questions, setting up payment plans, coverage coordination, charity applications, and other patient financial assistance programs.
• Assists patients with generating pricing estimates for various services.
• Reviews and understands facility aging balances, identifying trends in payments and cash collection needs.
• Identifies present and potential future bad debt, mitigating financial loss where possible.
• Reviews Explanation of Benefit correspondences and/or Remittance Advice documents with patients.
• Identifies patients with potential need for charity assistance and coordinates the application process, ensuring all required documents are in place for management review.
• Communicates significant financial issues with providers and management to arrange solutions for patients demonstrating consistent lack of follow-through on balances or bad debt.
• Demonstrates working knowledge of hospital and clinic billing, including UB and HCFA 1500 billing formats, regulatory compliance, CPT coding, HCPS coding, ICD-10 coding, and managed care contract methodology to address patient concerns.
• Coordinates bad debt accounts with outside vendors, ensuring appropriate account placement.
• Adheres to the organization’s Corporate Compliance program related to billing and collections.
• Works collaboratively with patients, providers, clinical staff, management, and peers to resolve patient balance concerns.
• Handles difficult conversations and situations, including diffusing tense interactions.
• Performs other duties as assigned.

Qualifications

• High School Diploma or equivalency required; Associate’s degree in business management or a financial-related field preferred.
• High level of computer literacy, including experience importing and exporting data files.
• Demonstrated ability to use Microsoft Excel at a user level, including basic spreadsheet creation.
• Excellent interpersonal skills for interactions with teams, staff, management, and presentations.
• High level of accountability, willingness to learn, and enthusiasm.
• Ability to work independently, proactively inquire, and check in with management regarding progress updates.
• Comfortable working in a fast-paced, autonomous environment.

Skills

• Excellent telephone and face-to-face communication with patients of all ages and financial backgrounds.
• Strong ability to handle and diffuse difficult conversations.
• Independent judgment and decision-making in assigned tasks to meet expected goals.

Benefits

• Medical, Dental, and Vision Insurance
• Health Savings Account
• Flex Spending Account and Dependent Care Spending Account
• 403(b) Retirement Plan with up to 4% employer contribution
• Earned Time Off
• Employer-paid Life Insurance
• Employer-paid Long-Term and Short-Term Disability
• Voluntary Life & AD&D Insurance
• Free 24-hour fitness center access
• Hospital Indemnity coverage
• MASA – Medical Transportation Solutions

Schedule

Full Time Days; Monday–Friday

Working Conditions

• Potential exposure to airborne or contact diseases.
• 80% sitting, 20% walking/standing.
• Must be able to communicate in person and on the telephone with conversational volume and tone.