Patient Financial Counselor Assistant

Job Description

Job Description

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Who We Are

Tennessee Retina is the largest Ophthalmology practice in Middle Tennessee, offering rewarding careers across 11 locations. We are committed to providing the highest level of care to our patients in the most convenient and caring manner. Our physicians are leaders in the research and application of new retina, macula, and vitreous treatments.

We are seeking energetic and collaborative Patient Financial Counselor Assistant for our Hendersonville clinic. The Patient Financial Counselor Assistant plays a critical role in supporting Financial Counselors in managing various aspects of patient care within our Retina practice. Their responsibilities often include assisting with insurance verification, coordinating payment plans, and facilitating financial assistance applications. These team members are essential in assisting financial counselors when helping patients navigate the financial aspects of their care, ensuring access to necessary treatments while maintaining compliance with internal processes and payer requirements. Their contributions are vital to the overall efficiency in the day-to-day functions within our team.

This exciting opportunity will work closely and be supported by a team of colleagues, strong leadership, and cutting-edge technology! A day in the life of a Tennessee Retina employee is filled with learning, growing, creating, hard work, and most of all fun!

Tennessee Retina offers a competitive salary based on diverse experiences and backgrounds.

Benefits Offered

·         Sign On Bonus, Certification Incentive Bonus, and Length of Service Award Bonus Programs

·         Continuing Education Program

·         Employer-sponsored Medical, Dental, Vision, Critical Illness Coverage, Short-term, Long-Term Disability, & Employee Assistance Program

·         401(k) with Generous Employer Match

·         Health Savings Account (HAS) and Flexible Spending Benefits

·         Paid Holidays and Paid Vacation

·         Annual Scrub Uniform Allowance

·         Employee Referral Award Bonus Program

·         Succession, Growth, and Mentorship Opportunities

·         Social Gathering and Team Opportunities

·         Full new hire training program to fully support, train, and welcome new hires to the team

Responsibilities

·         Utilize the practice management system, payor websites, payor benefit line, and fee schedules to verify insurance eligibility, confirm authorization/referral requirements, and determine allowable rates, coinsurance, deductible, and out-of-pocket expense for estimated patient responsibility associated with procedures and/or surgery.

·         Make calls to the patient's insurance to verify benefits for treatment

·         Assist in answering clinic calls and dispersing these calls to FCs

·         Process Financial Application with Proof of Income according to State Guidelines

·         Documenting Accounts with accurate records of patient interactions, payment plans, and financial assistance applications.

·         Notify the Billing Supervisor/Team Lead when appropriate financial arrangements per the patient liability policy cannot be made before the patient is treated for services.

·         Adhere to best practices standards in performing day-to-day follow-up tasks and procedures outlined in the Patient Liability Policies.

·         Assist with a variety of projects

·         The responsibilities listed are a general overview of the position and additional duties may be assigned.

Education, Training, and Experience

·         High School graduate or equivalent

·         Minimum of one year of insurance verification experience with knowledge of CPT coding

·         Experience reading and understanding payer eligibility electronic returns. Includes the ability to differentiate between insurance plans, copays, deductibles, and coinsurance (patient responsibility).

·         Ability to perform basic calculations, understand financial statements, and analyze payment options. 

·         Identifying and resolving financial issues, such as billing errors or payment discrepancies. 

·         Experience speaking with patients regarding the amounts due before and after scheduled appointments. Includes negotiating pre-service deposit, copay, deductible, and coinsurance amounts.

·         Proficient in understanding, reading, and interpreting all contents of the paper and electronic medical charts (ERM) and knowledge of medical terminology.

·         Knowledge of Adobe, Microsoft Office (Word, Excel, Outlook) and the ability to learn and adapt quickly to new software.

·         Effective verbal and written communication skills with patients, physicians, management, and employees

·         Excellent Organizational skills, multi-task, and logical thinking

·         Ability to be proactive, take initiative, and perform well in a fast-paced, high-volume practice.

Confidentiality

Maintains strict confidentiality regarding protected health information (PHI) and understands and adheres to TNR’s HIPAA privacy and security policies and procedures.

Typical Physical and Working Demands

Position requires prolonged walking, sitting, some bending, stooping, and stretching. Good eye-hand coordination and manual dexterity are sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment is required. Employees must have a normal range of hearing and eyesight to record, prepare, and communicate appropriate reports.  Employees must have a normal range of hearing and eyesight to record and prepare paper and MDI chart notes and documents. Must be able to lift and carry up to 15 pounds.