Healthcare Financial Counselor: Patient Billing & Insurance Guidance

Navigating the finances of healthcare is an overwhelming endeavor. Financial Counselors (FCs) will help patients navigate and understand this arena, in so doing, will reduce stress around the financial responsibility of their episode of care. This role is also critical for maintaining the financial health of the organization, by managing front-end insurance and revenue cycle processes.

GENERAL SUMMARY:

Under minimal supervision, Financial Counselors: Review patient's financial state, counsel patients on their out-of-pocket cost for their treatment plan, advise on insurance optimization options, and connect patient to financial assistance programs available to them. Perform any medical necessity reviews for treatment, prior to treatment, and work closely with the central authorization team to ensure the coordination of the medical necessity and authorization process. For off-label usages, FCs will be the point person for the appeal process and work towards a solution with the clinical team and payer. Be the point person for the clinical team regarding financial implications of their patient's care. Must be critical thinkers, who are skilled at problem solving and thinking through complex situations.

EDUCATION REQUIRED:

Bachelor's degree or five plus (5+) years of experience in related field required.

EXPERIENCE REQUIRED:

Experience in healthcare billing or related field required. In-depth knowledge of health insurance required. Pharmacy Tech Experience preferred. Proficiency in EPIC applications such as: Appointment Scheduling (all versions), Registrations, Referrals, preferred. Skills Customer service-oriented including the ability to interact professionally and handle sensitive information/issues in a confidential, respectful, assertive, and empathetic manner in difficult interpersonal situations. Acts in a manner that establishes positive rapport with patients, families, and public/private financial assistance programs. Ability to quickly assess and respond appropriately to emergency situations. Ability to comprehend medical terms. Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles, and in-depth experience in multi-tasking. Ability to deliver consistent results and possess the drive to continually improve processes to benefit the patient and the hospital system. Ability to visually proofread typed work for errors. Ability to communicate via telephone to a variety of groups (patients, patients' families, insurance companies, other departments, etc.). This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above. Overview Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers . The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits. Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws. #J-18808-Ljbffr Henry Ford Health