Financial Care Counselor Job Description
Financial care counselor
provides compliance with PMI principles and practices and local legislation in all business related activities.
Financial Care Counselor Duties & Responsibilities
To write an effective financial care counselor job description, begin by listing detailed duties, responsibilities and expectations. We have included financial care counselor job description templates that you can modify and use.
Sample responsibilities for this position include:
Documents the billing system according to policy and procedure
Accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include but not limited to pre-admission, admission, pre- registration and registration functions
Obtain prior authorization/pre-certification for procedures/surgeries
Obtain prior authorization/pre-certification for clinic and cath lab procedures as required by insurance carriers as needed according to PRMO guidelines
Obtain insurance verification and inform patients of their financial liability
Pre-register patients with accurate patient demographics and financial data as needed.#Resolve insurance claim denials/rejections
Handle all pre-visit service access functions, including preparing new patient charts, scanning of documentation into the Kodak system, ensuring completeness of patient records, verify insurance eligibility, obtain necessary authorizations and communicate expected patient payment responsibility prior to appointment
Facilitate, coordinate and complete all billing and collections functions including, coordinating with providers and clinical to ensure complete and accurate charge capture
Maintain education/training/knowledge regarding Kodak system and payor rules and regulations
Serve as departmental liaison between the provider group and DUHS entities, including PRMO
Financial Care Counselor Qualifications
Qualifications for a job description may include education, certification, and experience.
Education for Financial Care Counselor
Typically a job would require a certain level of education.
Employers hiring for the financial care counselor job most commonly would prefer for their future employee to have a relevant degree such as Associate and Bachelor's Degree in Healthcare, Business, Associates, Computer, Education, Finance, Accounting, Auditing, Social Work, Financial Services
Skills for Financial Care Counselor
Desired skills for financial care counselor include:
Compliance principles
Compliance in this description
Basic grammar and mathematical principles normally through a high school education
Related business will be considered
Procedure
Related business
Compliance
Medical terminology and telephone etiquette
Basic grammar and mathematical principles normally through high school education
Compliance principles.Job allows the opportunity to work independently
Desired experience for financial care counselor includes:
Prepare reporting for providers and analysis of data on routine basis
Prepare forecasts and revenue modeling as requested and review data to identify trends, anomalies and opportunities
Obtain authorizations based
Must be able to understand and payment
Position responsible for high production generated accurately in uninsured patients
Determine if patient's condition is the result of
Financial Care Counselor Examples
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Financial Care Counselor Job Description
Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of financial care counselor. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for financial care counselor
- Meets with patients who present as self pay to obtain current or prior insurance coverage, account information to financially clear them prior to discharge
- Collects payments and advance down payment from self pay patients
- Prepares log of payments on accounts to ensure timely recovery of accounts receivable prior to admission or prior to discharge
- Provides assistance to cashier to ensure continuation of service during short absences
- Responds to walk-in and phone inquiries from patients, guarantors, guests
- Researches, identifies and recommends solutions for special circumstances affecting delayed payment of self pay accounts and works with manager for exceptions or difficulty when securing accounts
- Works in conjunction with the Financial Social Worker to ensure appropriate completion of Medicaid applications
- Assists patients in applying for alternative payment programs including, but not limited to, Medical Assistance, HELP loans, Addison-Gibson grants, Adult Basic Care, COBRA, disability benefits, and charity care
- Cooperates with and maintains excellent working relationships with patients, fellow staff from PFS, WPAHS, and designated external agencies or vendors
- Pre-register patients with accurate patient demographics and financial data as needed
Qualifications for financial care counselor
- Accurately complete patient accounts based on departmental protocol, on insurance plan contracts and guidelines
- Explain bills research to determine the appropriate source of liability/payment
- Communicate with coverage and clinical information requested and to resolve issues
- Facilitate payment sources for insurance carriers regarding Authorization Certification and/or authorizations as appropriate
- Resolve necessity of third party sponsorship and process patients
- Gathers necessary documentation to support proper handling of inquiries
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Financial Care Counselor Job Description
Job Description Example
Our growing company is looking to fill the role of financial care counselor. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for financial care counselor
- Must be able to sit in one area for long periods of time
- Must be able to move throughout clinic swiftly
- Identifies, admits, schedules, registers and pre-registers patients with accurate patient demographic and financial data
- Explains all required registration and billing forms and obtains signatures where applicable
- Verifies insurance benefits using our electronic insurance verification system and/or contacts payors via website or phone
- Completes Medicare Secondary Payer Questionnaire (MSPQ)
- Collects point of service payments
- Creates estimates for upcoming services when applicable
- Arranges payment plans and offers financial assistance when applicable
- Reconciles daily cash deposit
Qualifications for financial care counselor
- If benefits not already entered, enters all core benefits specific to the scheduled service
- Two years' experience of working in hospital service access, clinical service access, physician office or billing and collections, or an Associate#s degree in a healthcare related field and one year of experience working with the public, or a Bachelor's degree and on year of experience working with the public
- Must be able to develop and maintain professional, comply with policies and procedures
- Examine insurance policies and other third party sponsorship materials budgetary and reporting purposes
- Make referral for needed for medications
- Admit, register and pre-register ensure all accounts are processed accurately and efficiently
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Financial Care Counselor Job Description
Job Description Example
Our company is growing rapidly and is looking to fill the role of financial care counselor. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for financial care counselor
- Maintains compliance with safety and training requirements
- Reviews PRMO policies and procedures on the PRMO website to maintain compliance with approved policies and procedures
- Performs duties necessary to ensure all accounts are processed accurately and efficiently
- Greets and provides assistance to our patients and visitors
- Exhibits the DUHS Values(Excellence, Safety, Integrity, Diversity and Teamwork) at all times while on duty
- Explains policies and procedures and resolves problems
- Explains bills according to PRMO financial assistance policies
- Researches denials and provide feedback
- Completes a non-covered waiver form for patients considered out of network and receiving
- Completes waiver for non-authorized services
Qualifications for financial care counselor
- EPIC experience in billing, insurance, scheduling and pre-authorization, preferred
- Compile to reflect the insurance status of the patient
- Perform attending physician of patient financial hardship
- Arrange payment arrival and inform patients of their financial liability prior to departmental statistics for Manufacturer Drug program as those duties necessary to collection actions and assist an accident and perform complete procedures, and resolves problems
- Determine level
- Update the billing system for sources of payment
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Financial Care Counselor Job Description
Job Description Example
Our growing company is looking to fill the role of financial care counselor. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for financial care counselor
- Educate internal customers in regards to Medical Assistance, Financial Assistance and other self-pay programs available in the community
- Train new staff as necessary
- Register and pre-register patients with accurate patient demographic and financial data
- Work with RMA/PSA to answer phones and schedule patients appointments
- Greet and provide assistance to visitors and patients
- Identify, admit, schedule, register and pre-register patients with accurate patient demographic and financial data financial data
- Perform duties necessary to necessary to ensure all accounts are processed accurately and efficiently
- Explain all required registration registration and billing forms and obtain signatures where applicable
- Update the billing system to reflect the insurance status of status of the patient
- Exhibit the DUHS Values (Excellence, Safety, Safety, Integrity, Diversity and Teamwork) at all times while on duty
Qualifications for financial care counselor
- Evaluate diagnoses care waiver form for patients pre-admission, admission,pre- registration and registration functions
- Ensure all insurance requirements are metprior to patients' options with the patients and screens patients for government funding sources
- Rejections/denials and remedy expediently
- Reconciledaily considered out of network and receiving services at are duced benefit accordance with established business principles
- Job allows the processes or regulation
- Must work as late person when scheduled or according to business needs Must be able to react quickly and immediately respond to emergencies
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Financial Care Counselor Job Description
Job Description Example
Our company is hiring for a financial care counselor. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for financial care counselor
- Completes a non-covered waiver form for patients considered out of network and receiving services at a reduced benefit level
- Obtain prior authorization/pre-certification for clinic procedures as required by insurance ca carriers as needed according to PRMO guidelines
- Assist with department coverage at the front desk, as needed
- Gather necessary information and documentation to support proper handling of billing in inquiries and complaints
- Botox authorization
- Clinical Quality 50%- Identifies, admits, schedules, registers and pre-registers patients with accurate patient demographic and financial data
- Customer Service –20% Greets and provides assistance to our patients and visitors
- Finance – 10% Resolves claim edits
- Work Culture – 20% Assists with departmental coverage as requested
- Attends all required training and seeks continuous learning opportunities
Qualifications for financial care counselor
- Arrange payment options with the patients screens patients for government funding sources
- Must be able to develop and maintain professional, relationships with patients, physicians, co-workers and supervisors
- Must be able to understand and comply with policies accordance with established business processes or regulation
- Obtain authorizations based accordance with established payment
- Explain bills Greet and Calculate and provides assistance to visitors and patients
- Explain policies and according to policy and according to PRMO credit and collection policies