Financial Counselor

Description:

Summary:
Provides assistance to patients and family members regarding establishing arrangements to provide payments for services provided. Ensures all insurance requirements are met prior to patients? arrival and informs patients of their financial liability prior to arrival for services.

Responsibilities:
1. Admit, register and pre-register patients with accurate patient demographics and financial data.
2. Calculate and collect payments from patients for hospital and faculty physicians. Set up payment arrangements. Reconcile daily money collected. Work with collections agencies to resolve balances and/or collect payments.
3. Refer patients to the Manufacturer Drug program as needed for medications.
4. Request insurance authorizations for medical and dental procedures via online portal or by phone. Enters authorizations in various systems. Provides estimates using the passport estimator for future services to help determine patient's liability. Screen patients for charity care, COBRA and Medicaid. Help complete applications as needed. Work with third party payers for copay assistance. Submit forms for prior authorizations.
5. Review and explain claim rejections on patient's accounts. Help resolve patient balance issues and questions.