Financial Counselor

*Role Summary* The Financial Counselor will ensure that all processes related to insurance eligibility and verification are performed to be able to have an individual patient financial meeting to discuss any patient financial responsibilities.
This meeting will be held with all patients during the initial weeks of treatment and will result in the collection of patient due amounts in full or the establishment of a patient payment plan, per company policy.
*Your key working relationships:* As the Financial Counselor, you need to develop strong relationships with the following internal parties: * Center Leaders * Patient Service Specialists * Revenue Cycle Teams In addition, you need to develop strong external relationships with various individuals, agencies & key stakeholders.
*Experience and skills:* * Two or more years’ experience in medical office setting.
* Experience in collections.
* Requires interpretation of insurance coverage eligibility, and ability to address any in/out of network coverage or self-pay issues.
* Strong knowledge of medical terminology as well as ICD-10 and CPT codes.
* Ability to travel to local offices in a geographic market.
* Excellent oral and written communication skills.
* Detail oriented with good organizational skills.
* Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
* Work under limited supervision with ability to understand and meet department productivity standards.
* Maintain a positive and respectful attitude.
* Bi-lingual preferred.
*Qualifications and Knowledge:* * Two or more years’ experience in medical office setting.
* Must be comfortable collecting payments and counseling patients regarding financial matters in a professional manner.
* Strong knowledge of medical terminology as well as ICD-10 and CPT codes.
*Other requirements for this role:* * Experience in insurance requirements, medical terminology, ICD-9 and CPT coding.
* High school graduate or equivalent.
* Experience with working in a healthcare field, preferably in a clinical setting or corporate billing office.
* Valid Driver’s License is necessary in the event the Financial Counselor supports Reporting lines and direct reports may change from time to time in line with the requirements of the role.
*Your key responsibilities:* * Meets with patients to explain cost of treatment, insurance coverage, and patient financial responsibility.
* Coordinates proper insurance verification information/documentation of patient’s insurance, to be used to estimate the patient’s financial responsibility.
* Responsible for collecting co-pays/deductibles from patients, assisting with establishing effective and timely payment plans.
* Courteously and professionally works with patients to outline financial obligations related to care, and provides options for patients to meet financial requirements, including assessing financial assistance eligibility, determining insurance coverage eligibility, establishing payment arrangements, collecting preservice payments and co-payments as needed.
* Responsible for monitoring and collecting the financial balances owed by our patients during their course of treatment.
* Reviews all payment / financial options (Financial hardships / Charity, Special arrangement options, Payments plans, etc.
) to limit risk of non-payment.
* Assists patients with questions regarding billing and insurance payments.
* Assists patients with applying for local grants, foundations, and free drugs to offset the patient responsibility.
* Complete wrap up meetings with patients at the end of treatment to ensure patients adhere to payment obligations.
* This position serves to educate patients regarding their insurance coverage and individual financial responsibility for cancer therapies.
Further, the position will provide patients access to financial resources available to them as well as assistance with the process.
* Completely and accurately document conversations and communication with patients, payors, third party vendors, and any other representative in and outside of the organization.
* Maintains attendance according to scheduled days and hours and appropriate dress and appearance standards, according to company policy.
* Attends mandatory company training sessions as required by state/federal law where applicable.
* multiple offices.
Job Type: Full-time Benefits: * 401(k) * 401(k) matching * Dental insurance * Health insurance * Life insurance * Paid time off Weekly schedule: * Monday to Friday Work setting: * In-person * Office Work Location: In person