Financial Counselor

Role Overview

• Responsible for obtaining patient insurance and financial information to determine estimates and collect on estimated patient liabilities (including copays, deductibles, co-insurance, and past due/outstanding balances after financial assistance has been applied) and meeting assigned daily point of service (POS) collection goals.
• Carry out notifications to recently discharged (within 7 days) bedded patients that did not pay estimated liabilities including attempts within account notations.
• Partner in daily cashiering responsibilities as assigned by client, including but not limited to daily cash reconciliation and daily deposit functions.
• Responsible for flat-rate contracts, bundled services, and all applicable self-pay options.
• Facilitate internal and external communication with key stakeholders on case statuses and escalations.
• Collaborate with Case Management and/or Utilization Management regarding regulatory form completion, including but not limited to Hospital Inpatient Notices of Non-Coverage (HINNs), Lifetime Reserve Day (LTR) declinations, etc.
• Responsible for running, monitoring, and working on the missed collection opportunities report for potential process improvements and follow-up, making at least three documented attempts each day to visit or contact patients when listed in an inpatient status.
• Maintain Client and/or Ensemble-specific work queues as applicable to the FC role, including unbilled edits.
• Completes various follow-up reports as assigned including but not limited to accounts requiring next-day verification and denial root cause analysis.
• Manage communications with patients that are unable to make payments while in-house.
• Ensure completion of all required registration-related consents/forms at or after patient admission.
• Develop and submit CFO escalations of uncollected estimated liabilities in compliance with existing financial clearance policies.
• Assists eligibility specialists in the verification of insurance information such as: Medicaid and charity processing, complete payor searches for secondary coverages, query coverage for self-pay patients and provide coordination of benefits education.
• Work daily queues to complete, update, and clear any unbilled accounts as needed and assigned.

Requirements

• 1
• 3 years of customer service experience
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences
• High School Diploma/GED Required
• CRCR Required within 9 months of hire (Company Paid)

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement