Financial Counseling Representative

R1-Rc; Lehi (UT); On-site; USD 26,000 - 34,000; Full time

Job summary

R1 RCM Inc. is seeking a Patient Financial Counselor to educate patients on financial obligations and payment options. The role requires navigating multiple systems, counseling on insurance benefits, and assisting with Medicaid or other assistance programs.

Strong customer service and attention to detail are essential in a high-volume call center environment. The position involves coordinating with Case Management, Medicaid vendors, and clinical staff to determine eligibility and ensure timely

Qualifications

• High school diploma required.
• At least one year of call center experience.
• Attention to detail and strong customer service.
• Ability to multi-task and navigate multiple systems.
• Experience handling a large volume of incoming calls.

Responsibilities

• Counsel patients or responsible parties about payment responsibilities and options.
• Explain insurance benefits and suggest alternative payment sources.
• Contact insurance carriers and advocate for the patient.
• Initiate prepays and follow up to maximize collections.
• Identify and assist with financial assistance programs.
• Coordinate with Case Management and Medicaid vendors to determine eligibility and coverage.
• Notify involved departments of possible service delays and approvals.
• Maintain accurate documentation of pre-processing information.

Skills

call center experience

attention to detail

customer service experience

multi-tasking

navigate multiple systems

high-volume calls

Education

High school diploma

Job description

Essential ResponsibilitiesThe Financial Counselor will be responsible for counseling patients or parties responsible for payment. The Patient Financial Counselor will educate patients on their responsibilities and potential options. The PFC is responsible for accurately and compassionately explaining to the patient their financial obligations during the financial counseling session. In addition, the counselor must obtain any necessary pre-certifications or authorizations and assist with any financing or third-party applications.In this role, the successful candidate must display a strong sense of patient care and attention to detail.Responsibilities:Explain financial responsibilities for services received, payment options and collection procedures to patients or parties responsible for payment.Counsel patients regarding insurance benefits and recommend alternative sources of payment and financial assistance when appropriate.Contact insurance carriers or other sources and act as an advocate for the patient.Initiate process for collecting prepays due and perform follow up activity to insure maximum collection is achieved.Identify hospital, public and private financial assistance programs for patients unable to meet their financial obligations.Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in completing assistance program applications and determine eligibility and coverage.Notify manager, physician and servicing department of possible delay of service for any elective, urgent admissions, procedures and scheduled diagnostic testing which have not been approved prior to the date of service.Maintain accurate documentation of pre-processing information.Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency.Perform all other duties and projects as assigned.Required Qualifications:High school diploma is requiredAt least one year of call center experienceAttention to detailStrong customer service experienceAbility to multi-task and navigate between multiple systems simultaneouslyAbility to handle a large volume of incoming callsDesired Qualifications:Previous experience as a financial counselor with background in medical terminology preferredUnderstanding of State and Federal assistancePhysical Requirements:See, read, and/or operate computers, telephones, office equipment, documents, labels, including manipulating paper requiring the ability to move fingers and hands.Remain sitting, standing, or walking for long periods of time to perform work on a computer, telephone, or other equipment.Frequent interactions with associates, patient care providers, patients, and visitors that require associate to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information banding patients, etc.Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items (over 5 lbs.).For this US-based position, the base pay range is $18.59 - $25.44 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California ConsentTo learn more, visit: R1RCM.comVisit us on Facebook