Financial Counselor
Core
Determines patient financial responsibility, verifies insurance eligibility, negotiates payment plans, and collects monies for a hospital.
Role type
Financial Counselor (Admitting Representative)
Builds
Patient payment arrangements and account documentation
Domain
Healthcare / Hospital Administration
Deliverable
dashboards & analysis
Required skills
Insurance eligibility verification, patient communication, payment plan negotiation, account documentation, Medicare/Medicaid monitoring, data entry
Preferred skills
Medical terminology, MS4 knowledge, bilingual (English/Spanish), healthcare background
Technologies
Windows PC, Word, Excel
Responsibilities
Determine patient responsibility and eligibility through various government benefits; Review accounts for proper plan codes and patient type; Contact agencies to verify liability assumptions; Negotiate flat rates for non-government accounts; Inform patients of financial responsibility and set up payment plans prior to discharge; Collect monies from patients; Monitor Medicare days and co-insurance; Represent patients at Medicaid/SSI fair hearings; Interface with Social Services and Case Management; Document financial information in hospital systems; Retrieve census patient information for follow-up; Obtain accurate patient and insurance information.
Seniority
Entry-level to Mid-level