Access Services Financial Counselor

Financial Counselor

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.

Qualifications:

• Education - H.S. Diploma/GED Equivalent
• Experience - 3 Years of Experience
• As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.