Financial Counselor

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

📋 Description

• Ensure patient accounts are completed in accordance with departmental protocols, policies, procedures, and regulatory standards.

• Conduct pre-admission, admission, pre-registration, and registration processes.

• Verify insurance requirements and communicate financial responsibilities to patients prior to services.

• Organize payment options and assess patients for potential government funding sources.

• Evaluate insurance coverage and benefits while obtaining necessary authorizations.

• Assist uninsured patients in identifying payment sources.

• Investigate accident-related liability to establish suitable payment sources.

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

• Address and resolve insurance claim rejections and denials.

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

• Assess diagnoses for compliance with the Local Medicare Review Policy.

• Compile departmental statistics for budgeting and reporting purposes.

• Clarify bills and execute collection actions in accordance with PRMO policies.

• Support financially responsible individuals with payment arrangements and refer patients for financial counseling.

• Process third-party sponsorships and review insurance and sponsorship documentation.

• Inform attending physicians about patients facing financial difficulties.

• Complete managed care waiver forms for out-of-network patients receiving reduced benefits.

• Update billing systems, document actions as per policy, and enter or modify referrals.

• Refer patients to Manufacturer Drug programs when applicable.

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

• Collect documentation for inquiries and complaints and aid in departmental coverage.

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

⛳️ Requirements

• Knowledge of basic grammar and mathematical principles at a high school education level.

• Some postsecondary education is preferred.

• Additional training or practical knowledge in a related business field.

• Two years of experience in hospital service access, clinical service access, physician offices, or billing and collections; OR an associate's degree in a healthcare-related field with one year of experience interacting with the public; OR a bachelor's degree with one year of experience working with the public.

• Exceptional oral and written communication skills.

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

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

• Understanding and compliance with established policies and procedures.

• Practical knowledge of compliance principles.

• No degrees, licenses, or certifications are required.

🏝️ Benefits

• Flexible remote work arrangement.

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

• Equal employment opportunity protections.