Family Financial Svc Counselor

Phoenix Children's; Phoenix (AZ); On-site; USD 50,000 - 62,000; Full time

Job summary

Phoenix Children's is seeking a Family Financial Services Counselor to educate patient families on applicable insurance benefits and payment options for out-of-pocket amounts due, coordinating with the care team to ensure full understanding of liability and coverage.

The role also involves helping uninsured/underinsured families obtain 3rd party coverage, processing financial assistance applications, and guiding families through the Phoenix Children's financial assistance process.

Responsibilities

• Meets with insured patient's parent/guardian to explain relevant benefits and applicable out of pocket amounts based on data obtained through various electronic tools and payer websites.
• Determine family's ability to pay.
• Review existing balances with families.
• Develop a comprehensive plan to cover out of pocket amounts which may include: Prompt pay discounts, Secondary coverage, Payment plans, Financial assistance/sliding scale discount, Other options.
• Assist with the resolution of billing inquiries by facilitating process with customer service.
• Meets with self-pay patient's parent/guardian to assess options for coverage payment which may include: Prompt pay discounts, Commercial coverage, Government coverage, Financial Assistance/sliding scale discount.
• Provide patient estimates prior to service to assist patients in determining cost of services and options for payment.
• Provide accurate and timely documentation for patient's accounts explaining activities and interactions with family members, staff, and outside sources on behalf of the patient.
• Provide complete and orderly financial assistance packets to management for review and approval.
• Tracks all financial assistance applications in central repository.
• Works collaboratively with PC/PCMG departments, payers, and vendors on behalf of the patient.
• Maintains a general understanding of the Federal Marketplace, Medicare, Managed Care, AHCCCS, and other third party payer rules, authorization and billing requirements.
• Provides feedback to management regarding work related problems and assists with resolution to provide excellent customer service.
• Performs miscellaneous job related duties as requested.

Job description

Family Financial Svc Counselor

Department: CORP | Financial Counseling

Location: Phoenix

Shift: Mon-Fri, Days, 8am-5pm

Category: Patient Financial Services

Posting #: 1058306

Employee Type: Full-Time

Position Summary

This position works with patient families to educate them on applicable insurance benefits and payment options for out of pocket amounts due. For uninsured and underinsured patients, the Family Financial Services Counselor works with the family to assist them in obtaining 3rd party covered through government and/or commercial plans and also walks them through the Phoenix Children's financial assistance application process. This position provides a customer service friendly approach that is coordinated with the patient's care team in order to ensure that the family has a full understanding of liability, coverage and coverage options, and payment options.

Position Duties

• Meets with insured patient's parent/guardian to:
• Explain relevant benefits and applicable out of pocket amounts based on data obtained through various electronic tools and in payer websites.
• Determine family's ability to pay.
• Review existing balances with families.
• Develop a comprehensive plan to cover out of pocket amounts which may include one or more of the following:
  • Prompt pay discounts
  • Secondary coverage
  • Payment plans
  • Financial assistance/sliding scale discount
  • Other options
• Assist with the resolution of billing inquiries by facilitating process with customer service.
• Meets with self-pay patient's parent/guardian to:
• Assess options for coverage payment which may include one or more of the following:
  • Prompt pay discounts
  • Commercial coverage
  • Government coverage
  • Financial Assistance/sliding scale discount
• Provide patient estimates prior to service to assist patients in determining cost of services and options for payment.
• Provide accurate and timely documentation for patient's accounts explaining activities and interactions with family members, staff, and outside sources on behalf of the patient.
• Provide complete and orderly financial assistance packets to management for review and approval.
• Tracks all financial assistance applications in central repository.
• Works collaboratively with PC/PCMG departments, payers, and vendors on behalf of the patient.
• Maintains a general understanding of the Federal Marketplace, Medicare, Managed Care, AHCCCS, and other third party payer rules, authorization and billing requirements.
• Provides feedback to management regarding work related problems and assists with resolution to provide excellent customer service.
• Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable