Financial Counselor; Allergy

Financial Counselor (Allergy)

Austin Regional Clinic: ARC

Location: Austin, TX

Overview: Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years. We are one of central Texas’ largest professional medical groups with 35+ locations and are continuing to grow. 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

• 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 amount.
• 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 (i.e., 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.
• Establishes payment plans per Payment Agreement guidelines.
• 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.

Required: High school diploma or GED. One year previous…