[Hiring] Financial Counselor @CommonSpirit Health

Role Description

This position contributes to the CHI Health vision and mission by the creation, implementation and maintenance of an effective workflow to assist our patients with the financial responsibility of healthcare. This job is responsible for assisting patients by providing information to patients who require assistance navigating through their insurance benefits and financial options in accordance with established business objectives and applicable regulatory requirements. They will collaborate with clinics and other facilities under the supervision of the Patient Financial Services supervisor, to make sure they are assisting the clinics and/or patients in an efficient manner, meets customer/facility needs and are compliant with internal policies/standards/procedures and applicable regulatory requirements.

• Performs financial counseling process on patients prior to treatment, which includes discussion of health insurance benefits (if applicable), billing practices, pre-collections, and payment arrangements.
• Assists in identifying financial resources available to the patient including Medicaid, Marketplace plans, COBRA, financial assistance, etc.
• Obtains initial and subsequent pre-authorizations for services as needed. Communicates approval/denial of prior authorizations back to clinical staff in a timely manner.
• Provide patients information on costs of service, payment methods and alternatives to payments including other financial options based on eligibility.
• Work with clinic staff to proactively identify patients with potential need for financial assistance options and/or financial counseling on upcoming services.
• Provide answers to reimbursement questions regarding health-plan eligibility, benefit issues, co-pay requirements and medical referral requirements, in compliance with facility guidelines and requirements.

Qualifications

• High School Graduate / General Studies

Requirements

• Experience in health care revenue cycle functions to include insurance or registration preferred, upon hire.
• Experience in healthcare collections, registration or customer service preferred, upon hire.