Financial Care Counselor

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Accurately finalize patient accounts following departmental protocols, policies, procedures, and regulatory standards.

• Execute pre-admission, admission, pre-registration, and registration tasks.

• Confirm insurance requirements and inform patients of their financial responsibilities prior to services.

• Arrange payment options and assess patients for government funding opportunities.

• Analyze insurance coverage and benefits while securing prior authorizations.

• Facilitate payment options for patients without insurance.

• Investigate accident-related liability and identify suitable payment sources.

• Admit, register, and pre-register patients utilizing accurate demographic and financial information.

• Resolve insurance claim rejections and denials effectively.

• Calculate and collect patient cash payments while reconciling daily cash deposits.

• Assess diagnoses for compliance with Local Medicare Review Policy.

• Compile departmental statistics for budgeting and reporting purposes.

• Clarify billing statements and execute collection actions in accordance with policy.

• Assist financially responsible individuals with payment arrangements and make referrals for financial counseling.

• Identify third-party sponsorship requirements and process patients accordingly.

• Review insurance policies and materials related to third-party sponsorship.

• Complete managed care waiver forms for patients who are out-of-network.

• Update billing systems and enter or amend referrals as needed.

• Refer patients to Manufacturer Drug programs when necessary.

• Welcome and assist patients and visitors, clarify policies, and resolve issues.

• Collect documentation for inquiries and complaints.

• Communicate with insurance providers regarding clinical information, coverage, and payment matters.

• Assist with departmental coverage as requested.

⛳️ Requirements

• Understanding of basic grammar and mathematical principles typically acquired through a high school education.

• Additional training or practical knowledge of related business operations.

• Two years of experience in hospital service access, clinical service access, physician office settings, or in billing and collections; OR an associate's degree in a healthcare-related field accompanied by one year of public interaction experience; OR a bachelor's degree with one year of public interaction experience.

• Exceptional oral and written communication abilities.

• Capability to analyze data, manage multiple tasks, and work autonomously.

• Ability to cultivate and sustain professional, service-oriented relationships with patients, physicians, colleagues, and supervisors.

• Proficient understanding of and compliance with policies and procedures.

• Familiarity with compliance principles.

• No specific degrees, licenses, or certifications required.

🏝️ Benefits

• Opportunity for remote work.

• Work hours from Monday to Friday, 8:00am to 4:30pm.

• Commitment to equal employment opportunity and values of diversity, collaboration, innovation, creativity, and inclusiveness.

• Availability of reasonable accommodation information and provisions.