Patient Financial Counselor

The Patient Financial Counselor is responsible for assisting patients in the process of completing financial assistance applications, educating them about their financial responsibility, and helping them identify a path toward resolving their balances. This position also acts as a liaison between customer service and the patient answering billing questions as they arise. This position involves communicating with patients in person, over the telephone and via written communication requiring the highest level of customer service.

• MISSION:
  We deliver outstanding care, inspire health, and connect with heart.
• VALUES:
  Trust. Respect. Integrity. Compassion.
• SERVICE GOALS:
  Personally connect. Keep everyone informed. Be on their team.

• Pre‑screens uninsured and underinsured patients to identify potential financial assistance opportunities.
• Identifies patients who may need a Medicare Beneficiary Notices of Non Coverage or any other waiver signed acknowledging patient responsibility prior to service.
• Follows up with all patients who have not been financially cleared prior to discharge (or because their service was urgent/emergent) to help them navigate their responsibility and determine if they have a financial need.
• Provides patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services.
• Assists patients without valid insurance coverage with enrollment in programs including, but not limited to, Medicare, Medicaid, and other state‑based assistance programs.
• Documents all payer communications and pre‑service patient financial conversations, including payer decisions, collection attempts, and payment plan arrangements.
• Ensures financial assistance applications are accurately filled out and complete before sending to the application processing team for review.
• Works in conjunction with on‑site state social worker or outside eligibility vendor to assist in the appropriate completion of Medicaid applications, ensuring this funding source is maximized based on patients' eligibility.
• Reviews and evaluates the patient's qualification for Financial Assistance according to the policy ensuring all required documents are collected and signed.
• Calculates and provides patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility for financial assistance according to Beacon Health System's policy.
• Initiates collections attempt on arranged payment plans or services/fees that were discounted.
• Helps patients develop a plan to resolve their liabilities, including by setting patients up on payment plans according to the established guidelines.
• Educates patients on their insurance coverage, such as by providing explanations of common terms (e.g., copay); their billing statements to prevent confusion; and any other questions patients may have about their financial responsibility.
• Stays informed of any statutes and regulations that could affect the collection of receivables (e.g., insurance company changes, collection regulations, etc.).
• Completes daily administrative tasks as necessary, such as filing, processing paperwork, and documenting interviews with patients.
• Collects payments from patients either pre service or post service and processes them within the payment portal.
• Creates deposits for cash when needed and prepares transactions for bank pick up.

• Completing other job‑related assignments and special projects as directed.

• Attends and participates in department meetings and is accountable for all information shared.
• Completes mandatory education, annual competencies and department specific education within established time frames.
• Completes annual employee health requirements within established time frames.
• Maintains license/certification, registration in good standing throughout fiscal year.
• Direct patient care providers are…