Submission for the position: Access Services Financial Counselor

About Us

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values are:

• We serve faithfully by doing what's right with a joyful heart.
• We never settle by constantly striving for better.
• We are in it together by supporting one another and those we serve.
• We make an impact by taking initiative and delivering exceptional experience.

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level.

Job Summary

The Financial Counselor performs financial clearance tasks like verifying insurance and providing price estimates. This role resolves disputed billing issues through patient interaction. It also serves as an expert in financial assistance policies and facility collections, and supports special projects.

Essential Functions of the Role

• Works closely with facility leadership to ensure all patients are financially cleared and screened.
• Conducts patient interviews to obtain demographic and financial data for registration, insurance verification, pre-certification and billing.
• Records accurate patient demographic information when reviewing previous accounts and accounts with future dates of service.
• Follows and acts on several complex system policies (financial assistance, limited plan, point of service, out of network, etc.)
• Obtains and screens guarantor financial information for financial assistance and or refers patient to appropriate resource for public assistance programs.
• Provides estimates of procedures and services, calculates payment requirements, and negotiates pre-service payments according to financial clearance requirements.
• Establishes payment arrangements for future and previous services.
• Reviews future schedule to ensure pre-authorization and pre-payments have been collected.
• Assists with contacting the physician's office and patient to ensure pre-authorization and referral requirements are met before the service date.
• Reviews and interprets explanation of benefits from payers. This helps patients and guarantors understand claims processing or denial of services.

Key Success Factors

• 3 years of healthcare experience or education equivalency required.
• Proven ability to problem-solve, perform critical thinking.
• Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.
• Maintain a professional demeanor in stressful and emotional environments. This includes crime, behavioral health, suffering patients, and life-or-death situations.
• Must exhibit high empathy and communicate effectively with patients and families during traumatic events, while showing exceptional customer service skills.
• Demonstrates ability to manage multiple, changing priorities in an effective and organized manner.
• Excellent data entry, numeric, typing and computer navigational skills.
• Basic computer skills and Microsoft Office and Excel.

Belonging Statement

We believe that all people should feel welcomed, valued and supported.

QUALIFICATIONS

• EDUCATION - H.S. Diploma/GED Equivalent
• EXPERIENCE - 3 Years of Experience