Financial Counselor
Core
Facilitates resolution of patient financial issues including pre-admission verification, insurance authorization, and payment collection for outpatient and inpatient services.
Role type
Patient financial counselor (hospital operations)
Builds
Hospital admission and billing workflows
Domain
Healthcare administration / Insurance verification
Deliverable
client delivery
Required skills
Medical terminology, Third-party insurance verification, Insurance authorization processes, HIPAA compliance, Payment collection, Patient communication
Preferred skills
Knowledge of payer contracts, Experience with Medicare/Medicaid rules
Technologies
Hospital information systems, Computer applications
Responsibilities
Verify patient demographics and insurance coverage, Obtain and confirm coverage authorizations, Establish benefit levels and expected payments, Collect payments and monitor outstanding balances, Complete missing documentation upon admission, Refer patients unable to meet financial obligations to advocates, Update financial clearance status in hospital system
