Patient Financial Counselor
Cure 4
Benefits Competitive compensation and comprehensive benefit packages in the healthcare field State‑of‑the‑art clinical and administrative environment located at 215 and Town Center, Summerlin on the Roseman University Campus Position Description Provides financial counseling to patients to help resolve their patient financial obligations and minimize financial toxicity. This is a non‑exempt, hourly position. Essential Duties and Responsibilities Provides financial counseling to help patients and parents reduce financial barriers by optimizing insurance coverage, establishing budget plans, and identifying suitable financial assistance programs. Assists patients with the completion of Charity Care and other assistance applications, including providing application instructions and following up with patients on requested documentation. Reviews completeness of applications and submits for approval. Assists patients with the completion of co‑pay assistance, drug assistance, and other available programs to mitigate their financial obligations. Answers patient and inter‑departmental inquiries on patient balances and billing statements. Educates patients on insurance coverage information. Collaborates with organizational social workers and other departments to help patients access internal and external financial assistance resources. Follows up and reports the status of patient delinquent accounts based on the established self‑pay collection guidelines. Documents each collection action with clear notes. Identifies collection issues or trends and escalates them to the appropriate supervisor when assistance is needed. Reviews patient account balances to properly post patient payments against related receivables. Prepares patient financial‑related notices and communications. Reviews, prepares, and submits patient accounts for collections after exhausting all collection efforts. Investigates and submits refund requests. Maintains the strictest confidentiality; adheres to all HIPAA guidelines and regulations. Performs other duties as assigned. Required Education and Experience High school diploma or GED. Minimum of one (1) year of experience in a Patient/Insurance accounts receivable role or equivalent experience in a healthcare setting. Preferred Education and Experience Experience in a tertiary patient care setting involving interactions with a variety of medical services, contact with patients and families, and interaction with physicians. Experience in assisting patients with drug copay assistance programs and budget plans. Experience in oncology, hematology, rheumatology, orthopedics, physical therapy, genetics, and/or radiology. Patient Navigator credentialed. Knowledge, Skills, and Abilities Working knowledge of business office procedures and Microsoft applications, including Word and Excel. General knowledge of basic medical billing/collection, medical coding, Medicaid and commercial insurances, eligibility verification, coordination of benefits, and third‑party operating procedures and practices. General knowledge of insurance prior‑authorizations and referrals. Well organized and detail oriented. Strong verbal and written communication skills. Physical Demands and Work Environment Prolonged periods of sitting at a desk and working on a computer. Occasionally required to stand and walk. Occasionally required to lift up to 15 pounds at a time. Language Skills English. CURE 4 THE KIDS FOUNDATION PARTICIPATES IN E-VERIFY. Monday - Friday, 8:00 AM - 4:30 PM #J-18808-Ljbffr
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