Role Summary: The Financial Counselor is primarily responsible for assisting patients or patient representatives with their financial obligations. The Counselor researches accounts based on departmental policies and procedures in order to identify, based on predetermined regulatory criteria, options available to the patient. This role discusses expected medical expenses with patients, attempts to collect and screens patients for Medicaid eligibility, financial assistance or other discount programs. The Counselor demonstrates knowledge of governmental regulations and an exceptional understanding of insurance and coordination of benefits. This role interfaces directing with patients, pre access services, registration representatives, Medicaid assistance counselors, care management, and customer service representatives across the Health System. The Financial Counselor may be required to round in patient care areas and maneuver a workstation on wheels.Skills, Knowledge, Abilities:The Financial Counselor should be well-versed in insurance terminology and know how to verify insurance coverage, and interpret benefits and patient liability. The Financial Counselor should understand regulatory compliance and insurance company requirements, and also have a functional knowledge of how Medicare and Medicaid programs work. The Financial Counselor should be familiar with researching and accessing resources for financial assistance programs available for patients.
Required Education: High School Diploma or Equivalent
Preferred Education: Associate's Degree or higher
Required License: None
Preferred License: None
Required Experience: Minimum of two years' experience in a related healthcare field or in lieu of healthcare experience, 5 years of work experience in business, retail or banking environment. Strong writing and verbal communication skills.
Preferred Experience: Five years of experience in a medical services front office, coding, customer call center, insurance benefits and authorizations, or medical collections position. Experience with Cerner Millennium, Allscripts Enterprise Practice Management System, Healthquest, Artiva, Insurance claims and Medicaid eligibility.Qualified Spanish-speaking applicants encouraged to apply.