Financial Counselor
Company: Baylor Scott & White Health
Location: Temple
Posted on: January 27, 2023
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Job Description:
**JOB SUMMARY**The Financial Counselor is responsible for
performing financial clearance functions, including but not limited
to, verifying insurance eligibility and benefits, ensuring
authorizations and providing price estimates. This position
facilitates resolution in disputed billing issues which require
intense interaction with patients. This position also serves as
subject matter expert in financial assistance policies, facility
point of service collections and provides support on special
projects.**ESSENTIAL FUNCTIONS OF THE ROLE**Works closely with
facility leadership to ensure all patients are financially cleared
and screened.Conducts patient interviews to obtain demographic and
financial data for registration, insurance verification,
pre-certification and billing.Records accurate patient demographic
information when reviewing previous accounts and accounts with
future dates of service.Follows and acts on several complex system
policies (financial assistance, limited plan, point of service, out
of network, etc.)Obtains and screens guarantor financial
information for financial assistance and or refers patient to
appropriate resource for public assistance programs.Provides
estimates of procedures and services, calculates payment
requirements, and negotiates pre-service payments according to
financial clearance requirements.Establishes payment arrangements
for future and previous services.Reviews future schedule to ensure
pre-authorization and pre-payments have been collected.Assists with
contacting physician office and patient in order to ensure
pre-authorization and referral requirements are met prior to the
date of service.Reviews and interprets explanation of benefits
received from payers in order to assist patients and guarantors
with understanding of claims processing or denial of services by
payer.**KEY SUCCESS FACTORS**3 years of healthcare experience or
education equivalency required.Proven ability to problem-solve,
perform critical thinking.Requires good listening, interpersonal
and communication skills, and professional, pleasant and respectful
telephone etiquette.Ability to maintain a professional demeanor in
a highly stressful and emotional environment, to include crime,
behavioral health and suffering patients in addition to life or
death situations.Must be able to exhibit a high level of empathy
with the ability to effectively communicate with patients and
family members during traumatic events, while demonstrating
exceptional customer service skills.Demonstrates ability to manage
multiple, changing priorities in an effective and organized
manner.Excellent data entry, numeric, typing and computer
navigational skills.Basic computer skills and Microsoft Office and
Excel.**BENEFITS**Our competitive benefits package includes the
following- Immediate eligibility for health and welfare benefits-
401(k) savings plan with dollar-for-dollar match up to 5%- Tuition
Reimbursement- PTO accrual beginning Day 1Note: Benefits may vary
based upon position type and/or level**QUALIFICATIONS**- EDUCATION
- H.S. Diploma/GED Equivalent- EXPERIENCE - 3 Years of ExperienceAs
a health care system committed to improving the health of those we
serve, we are asking our employees to model the same behaviours
that we promote to our patients. As of January 1, 2012, Baylor
Scott & White Health no longer hires individuals who use nicotine
products. We are an equal opportunity employer committed to
ensuring a diverse workforce. All qualified applicants will receive
consideration for employment without regard to race, color,
religion, sex, national origin, disability status, protected
veteran status, or any other characteristic protected by law.
Keywords: Baylor Scott & White Health, Temple , Financial Counselor, Other , Temple, Texas
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