Business Office Financial Counselor

Harboroaks; Tucson (AZ); On-site; USD 40,000 - 55,000; Full time

Job summary

Harboroaks in Tucson, AZ is seeking an Insurance Verification and Billing Specialist responsible for accurate documentation of verification, billing and collections, and financial counseling for patients.

This role audits admission packets, verifies benefits, collects copays and deductibles, and prepares financial disclosures and promissory notes, updating logs and coordinating with the billing office.

Qualifications

• High school diploma or equivalent required.
• Three or more years' experience in related field required.
• Extensive knowledge of Commercial Insurance and Medicare/Medicaid.

Responsibilities

• Audit admission packets and verify benefits and patient demographics in the accounting system.
• Provide financial counseling to patients/guarantors and collect out-of-pocket costs.
• Complete financial disclosure paperwork for assistance applications.
• Prepare adjustment forms for charity or administrative adjustments.
• Prepare promissory notes for payment arrangements.
• Update daily logs (upfront collection, charity, admin adjustments) and review weekly.
• Gather and interpret data to determine timely, strategic action to secure payments.

Skills

Commercial Insurance

Medicare/Medicaid knowledge

Financial counseling

Patient demographics systems

Education

High school diploma or equivalent

Three or more years' experience in related field

Job description

Overview

PURPOSE STATEMENT:

Responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections.

Responsibilities

ESSENTIAL FUNCTIONS:

• Responsible for auditing the admission packets and for the verification of benefits along with all patient demographic information in the patient accounting system.


• Financial counseling of patients and/or guarantors and collecting any out of pocket (deductibles, copays, exhausted days, etc). Provide information to the patient and/or guarantors regarding their benefits and financial obligations.


• Complete financial disclosure paperwork for patients that request assistance including verifying income and expenses.


• Complete adjustment forms for any charity or administrative adjustments for approval.


• Complete promissory notes for patients that request payment arrangements.


• Update daily the upfront collection log, charity log, and admin adjustment log. Review with BOD on a weekly basis.


• Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High school diploma or equivalent required.


• Three or more years' experience in related field required.


• Extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid required.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Not applicable

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.

SONBH

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