Financial Counseling Representative
Core
Counsel patients on financial obligations, insurance benefits, and payment options while assisting with financial assistance applications.
Role type
patient financial counselor (call center)
Builds
patient payment plans and financial assistance program enrollments
Domain
healthcare administration
Deliverable
client delivery
Required skills
patient counseling, insurance benefits knowledge, financial assistance program navigation, multi-system navigation, high-volume call handling
Preferred skills
medical terminology, state and federal assistance program understanding
Responsibilities
Explain financial responsibilities and payment options to patients; Counsel patients regarding insurance benefits and recommend alternative payment sources; Contact insurance carriers to advocate for patients; Initiate collection processes for prepayments; Identify and assist patients with hospital and public financial assistance programs; Coordinate with Case Management and Medicaid vendors to determine eligibility; Notify departments of potential service delays due to lack of pre-approval; Maintain accurate documentation of pre-processing information.
Seniority
Entry-level, hands-on IC