Financial Counselor

Responsibilities

• Provides excellent service and timely support.
• Performs assessment and collections activity on pre-service scheduled cases to resolve future and previous financial risk or escalates for appropriate review and approval in a timely manner (75%).
• Generate patient estimation of services as applicable and collect the specific deposit amount as outlined in UH policy.
• Monitor, prioritize, collect and resolve self-pay accounts in accordance with standard operating procedures.
• Assist patients with payment plan arrangements including collecting initial down payment as part of the process by following established departmental policy.
• Monitor and work Financial Counselor worklist for respective locations and validates against the Encounter Prep Worklist to ensure all scheduled patients have been financially cleared.
• Escalate financially risky accounts through designated escalation team for appropriate clinical and financial assessments.
• Process payments by phone via electronic check, credit card, hard copy, payment database or any other approved means.
• Informs patients and executes financial assistance opportunities (15%).
• Understand, explain, execute and help determine eligibility for hospital financial assistance programs.
• Coordinates with agencies and other departmental vendors as appropriate to ensure eligibility for possible insurance coverage or government programs has been thoroughly reviewed and pursued.
• Coordinates customer service support for patients inquiring about their account (10%).
• Identify patient or customer needs, clarify information, research and analyze issues, and provide solutions and/or appropriate alternatives.
• Maintain patient and physician confidentiality and professionalism in accordance with departmental and HIPAA guidelines at all times.

• High School Equivalent / GED (Required)
• 5+ years experience in revenue cycle or healthcare related field (Required)
• 1+ years direct Revenue Cycle Customer or Service Department, collection agency or sales experience (Preferred)
• Experience with medical billing software (Required)
• Knowledge of managed care insurance requirements is essential (Required proficiency)
• Investigative/research skills to identify financial options for patients. (Required proficiency)
• Exceptional written and verbal communication skills (Required proficiency)
• Proficient with digital systems, applications and workflow. (Required proficiency)
• Advanced knowledge of medical billing and claims terminology and workflow processing. (Required proficiency)
• Self-motivated, works independently and consistently demonstrates the ability to perform with little to no supervision in a fast-paced environment. (Required proficiency)

Demonstrates expertise in revenue cycle management, including patient financial assessments, collections, and medical billing processes. Proficient in utilizing digital systems and applications to enhance workflow efficiency while maintaining compliance with HIPAA guidelines.

• Revenue Cycle Management
• Medical Billing Software
• Managed Care Insurance Knowledge
• Exceptional Communication Skills
• Investigative/Research Skills

• Revenue Cycle Management
• Medical Billing Software
• Financial Assessment
• Collections Activity
• Payment Processing
• Financial Assistance Programs
• Claims Terminology
• Workflow Processing
• Patient Estimation Generation
• Self-Pay Account Resolution

• Customer Service
• Problem Solving
• Self-Motivation
• Independence
• Professionalism

• High School Equivalent / GED

• Healthcare
• Revenue Cycle
• Financial Risk
• HIPAA Compliance
• Insurance Coverage

• Digital Systems
• Payment Database
• Electronic Check Processing
• Credit Card Processing