Financial Counselor; Allergy
Listed on 2025-12-20
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Healthcare
Medical Billing and Coding, Healthcare Administration
ARC Center Street
22420 IH-35
Suite #203
Kyle, TX 78640, USA
We offer the following benefits to eligible team members:
Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit
Prepares estimates for medical services prior to treatment, educates patients and collects payment when appropriate. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.
ESSENTIAL FUNCTIONS- Utilizes Medical Present Value’s Patient Responsibility Pricer application to prepare estimates for medical services. Obtains appropriate eligibility and benefits information, and together with the contractual allowable data creates estimates.
- Contacts patients to provide a verbal estimate and attempts pre-collection of the patient responsible amount. Advises patient that the estimate may not reflect all charges as they vary based on services provided. Educates patients on their financial responsibilities.
- Mails a formal copy of the estimate and a letter to the patient. Documents details in account notes.
- If patient is present for estimate creation, obtains Patient’s signature on estimate and attempts to collect patient responsible mount.
- Maintains file copies of estimates.
- Returns telephone calls within time frames established by department.
- Interacts with providers’ office and the billing office staff.
- Receives inbound telephone calls from internal and external customers. ie. Patients, Insurance Representatives.
- Asks appropriate verification questions prior to releasing confidential patient information in accordance to company policy/HIPAA guidelines.
- Reviews explanation of benefits documents with knowledge and ability to explain information to patients/customers.
- Provides financial counseling service/payment arrangements to walk-in patients with outstanding account balances.
- All actions are documented with clear and accurate documentation in the Account Notes.
- Receives patient refund request information and forwards to Refunds processing..
- Reviews account transactions for accuracy.
- Uses appropriate transaction and ANSI codes per Posting guidelines.
- Reviews and documents patient correspondence. Contacts patients to acknowledge receipt of correspondence in a timely manner, whenever necessary.
- Obtains updated insurance information and forwards to the Registrations unit for eligibility verification.
- Utilize Payor Websites efficiently and maintain confidential security passwords.
- Receives credit card payments via telephone and posts payment accordingly.
- Works closely with Collections Department and/or directly with Customers on payment of balances due.
- Sets up accounts with payment plan information and clearly documents the terms of the agreement.
- Consults with Supervisor prior to offering discounts for non-covered services
- Performs all of the tasks of the PSC and Sr. PSC as needed or assigned.
- Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct.
- Regular and dependable attendance.
- Follows the core competencies set forth by the Company, which are available for review on CMSweb.
- Works holiday shift(s) as required by Company policy.
- Assists supervisor with disputed accounts which may require additional follow up and/or rework.
- Keeps complete, accessible, and current Payor information.
- Provides assistance to coworkers as requested and/or necessary.
- Responds professionally and effectively to questions from external sources, i.e., customer or carrier, and internal sources, i.e., provider or management team.
- Attends required in services/training sessions/department meetings.
- Meets performance competency standards for Registrations and Patient Accounts.
- Performs other duties as assigned
Education and Experience
Required: High school diploma or GED. One year previous customer service experience in medical billing and collecting money.
Experi…
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