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Job Summary

The Financial Counselor I supports patient access and revenue cycle operations by verifying insurance coverage, securing financial arrangements, and coordinating all aspects of patient account management. This role serves as a key resource for patients by providing financial counseling, facilitating assistance applications, and ensuring accounts are processed accurately and in a timely manner. The Financial Counselor I interacts regularly with patients, insurance payors, and internal departments to promote account resolution and ensure a positive patient financial experience.

Essential Functions

+ Establishes payment arrangements with patients according to departmental policies and procedures.

+ Accurately completes and submits financial assistance applications and follows up on required documentation.

+ Verifies insurance eligibility and benefits, and ensures appropriate authorizations are obtained when applicable.

+ Reviews daily admission and missed opportunity reports to ensure all accounts have a valid payment source or financial counseling documentation.

+ Responds to patient inquiries regarding account balances, billing concerns, and insurance coverage; returns all patient calls in a timely and professional manner.

+ Reviews and processes adjustment requests and monitors approved adjustments for accuracy.

+ Maintains account documentation by recording all actions and communications in the appropriate system using correct comment types.

+ Establishes and maintains communication with patients throughout the continuum of care, including pre-admission, point-of-service, and post-discharge financial follow-up.

+ Coordinates with other departments as needed to resolve account issues and ensure account accuracy.

+ Retrieves and responds to voicemails from departmental customer service lines and ensures timely follow-up.

+ Performs other duties as assigned.

+ Complies with all policies and standards.

Qualifications

+ Associate Degree in Healthcare Administration, Business, Accounting, or a related preferred

+ 1-3 years of experience in healthcare registration, billing, collections, or a related field required

+ 2-4 years of experience in financial counseling or insurance verification preferred

Knowledge, Skills and Abilities

+ Knowledge of healthcare billing and insurance verification processes.

+ Strong interpersonal and communication skills with a customer service focus.

+ Ability to organize and prioritize tasks in a fast-paced environment.

+ Proficiency in Microsoft Office and electronic health record systems.

+ Ability to maintain confidentiality and professionalism in all patient interactions.

Equal Employment Opportunity

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.