Financial Counselor
Core
Liaison between patients and the practice coordinating payments, insurance verification, and financial assistance to ensure patients can access care.
Role type
Healthcare financial counselor
Builds
Patient payment arrangements and insurance coverage verification
Domain
Healthcare / Medical billing
Deliverable
client delivery
Required skills
Medical terminology, Insurance verification, Pre-certification and prior authorization processes, Patient financial responsibility calculation, Cash handling, MS Office proficiency
Preferred skills
Experience with grant-funded assistance programs, Knowledge of ICD9/ICD10/CPT codes
Responsibilities
Coordinate pre-certification and prior authorization with insurance companies; Review patient treatment plans to establish financial responsibility; Generate service estimates and explain fiscal responsibility to patients; Manage patient aging balances and arrange payment plans; Assist patients with completing paperwork for financial aid programs; Communicate with providers and staff regarding billing and coverage issues.