Financial Counseling Representative

r1rcm; Lehi (UT); On-site; USD 26,000 - 35,000; Full time

Benefits offered by this job

Health insurance

Job summary

R1 RCM Inc. in Utah is seeking a Financial Counselor to educate patients on financial obligations and payment options, obtain necessary authorizations, and support with financing or third-party applications.

The role requires strong patient care, attention to detail, and the ability to explain responsibilities clearly, advocate for patients with insurers, and coordinate with clinical teams.

Qualifications

• High school diploma is required.
• At least one year of call center experience.
• Ability to multi-task and navigate between multiple systems.
• Strong customer service experience.

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.

Skills

Attention to detail

Strong customer service

Ability to multi-task

Call center experience

Handle high call volume

Education

High school diploma

Job description

Essential Responsibilities

The 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.

• 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 required
• At least one year of call center experience
• Attention to detail
• Strong customer service experience
• Ability to multi-task and navigate between multiple systems simultaneously
• Ability to handle a large volume of incoming calls

Desired Qualifications

• Previous experience as a financial counselor with background in medical terminology preferred
• Understanding of State and Federal assistance

Physical 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