Counselor - Infusion Financial

Overview

Position:
Billing and Revenue Cycle Pre-Registration, Day Shift, Virtual (Arizona). PRN hours Monday‑Friday 7:00‑5:00.

Ensures that an account is established for every scheduled infusion patient. Obtains complete and accurate patient demographics, verifies insurance eligibility and benefits, and verifies information with the patient or representative. Calculates and provides out of pocket liability for planned services and prepares Medicare required documentation as necessary. Delivers excellent customer service via phone, email, or video encounters with patients. Collaborates with other parties or departments as needed.

Maintains a minimum accuracy rate on reviewed accounts as defined by departmental standards. This is a work from home position that may require staff to commute to NSSC for staff meetings and for staff training. Staff are required to train/work from NSSC for the initial 6 months to 1 year as necessary to become proficient.

• Creates and/or updates hospital account.
• Obtains and enters hospital information system required patient demographics and insurance information in a timely manner after service is scheduled.
• Verifies patients’ insurance coverage, eligibility, and point of service financial obligation for all scheduled services, and documents the system in detail.
• Adheres to all third party payer requirements for both government and commercial payers.
• Determines insurance eligibility and coverage.
• Communicates current Medicare requirements, HIPAA compliance and reimbursement criteria.
• Collaborates with Medicaid vendor for those patients with no insurance or secondary/supplemental insurance.
• Contacts patients to verify demographic information and perform financial counseling prior to time of service.
• Collects patient responsibility due, provides information on payment plans and financial assistance as necessary.
• Follows department and network policies concerning discounts, package rates and basic financial assistance.

High School Diploma or GED required. Associate’s in related healthcare or business field preferred.

Preferred: 3 years in healthcare field including medical office insurance/front desk, hospital registration, hospital business office (billing or collections).

Required:

1 year in healthcare field including medical office insurance/front desk, hospital registration, hospital business office (billing or collections).

None specified.

None listed.