Financial Counselor - Healthcare develops and facilitates payment plans for patients to finance medical expenses by coordinating between insurer, third party payer and patient. Confirms level, terms of coverage, and benefit limits with health insurance providers. Being a Financial Counselor - Healthcare advises patients of any alternative sources of funding or assistance available from social service agencies. Prepares and files any documentation needed to complete payment arrangements. Additionally, Financial Counselor - Healthcare may arrange for referrals or second opinions. Has general knowledge of insurance terms and practices. Requires a high school diploma. Typically reports to a supervisor or manager. The Financial Counselor - Healthcare works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Financial Counselor - Healthcare typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
· The Financial Counselor screens uninsured and underinsured patients at bedside and prior to or post services to identify government or charity programs to cover medical expenses. The position requires a patient financial interview which includes a review of hospital charges, the patient's insurance status and financial resources. It may include the completion of appropriate applications and diligent follow up for approval.
· Determines financial clearance for a patient's visit or referral (pre-service or at time of service).
· Checks eligibility and benefits, determines authorization requirements have been met.
· Assesses "risk" of cases that have not been financially cleared/secured prior to service. Clears low risk cases, escalates high-risk cases to coordinator or manager.
· Contacts patient regarding steps required to clear their appointment for services including collecting a deposit for the patient’s financially responsible portion.
· Quickly and accurately estimates a patient's out of pocket costs and prepares documents to present to the patient for payment. Assures secure handling and accurate recording of payments collected at the point-of-service delivery.
· Applies strong problem solving skills to help address the concerns and needs of the patients that the Financial Counselors serve.
· Effectively communicates, both orally and written, to a variety of individuals including: patients, case workers, social workers, hospital directors and executives while maintaining utmost professionalism.
· Maintains professional communication with various Patient Financial Clearance and
· Patient Access Services staff, medical center staff, physicians, guests, and patients regarding the services. Communication may consist of telephone correspondence or in person contact.
· Must be multi-task orientated with excellent critical thinking skills and possess the ability to appropriately handle complexity and stress within the changing needs of the patients, families and the health system.
· Meets weekly individual productivity goals and standards while following planned priorities as set by the Team Manager/Coordinator(s).
· Performs other duties and responsibilities as assigned by the unit team manager or other PFC management personnel.
· Performs the complete registration and admitting process from start to finish
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0 Financial Counselor - Healthcare jobs found in San Jose, CA area