Financial Counsellor

The Calcutta Medical Research Institute (CMRI); Jaipur; On-site; INR 250,000 - 400,000; Full time

Job summary

The Calcutta Medical Research Institute (CMRI) in Jaipur is seeking a Hospital Financial Counselor to assist patients with insurance verification, cost estimation, and financial planning for medical services. You will screen for Medicaid and charity programs, help arrange monthly plans, collect payments, and explain billing policies to patients.

This role involves collaboration with physicians and case managers to manage the financial aspects of upcoming procedures, ensuring patients understand

Responsibilities

• Verify patient insurance eligibility, benefits, and pre-authorization requirements.
• Provide patients with accurate out-of-pocket cost estimates for their medical treatments.
• Screen uninsured or underinsured patients for Medicaid, charity care, and financial assistance programs.
• Establish manageable, structured monthly payment plans for patients.
• Collect co-pays, deductibles, and deposits prior to or at the time of medical service.
• Explain complex medical bills, insurance statements, and financial policies to patients.
• Help patients appeal wrongly denied insurance claims and resolve billing disputes.
• Coordinate with physicians and case managers regarding the financial status of upcoming procedures.

Job description

Role & responsibilities:

Here are the core roles and responsibilities of a hospital financial counselor:

• Verify patient insurance eligibility, benefits, and pre-authorization requirements.
• Provide patients with accurate out-of-pocket cost estimates for their medical treatments.
• Screen uninsured or underinsured patients for Medicaid, charity care, and financial assistance programs.
• Establish manageable, structured monthly payment plans for patients.
• Collect co-pays, deductibles, and deposits prior to or at the time of medical service.
• Explain complex medical bills, insurance statements, and financial policies to patients.
• Help patients appeal wrongfully denied insurance claims and resolve billing disputes.
• Coordinate with physicians and case managers regarding the financial status of upcoming procedures.