Financial Counseling Representative

Good Samaritan Society; Marshfield, Northern (WI, KY); Hybrid; USD 23,000 - 39,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

401(k) retirement plan

Work/life balance benefits

Generous time off

Job summary

Sanford Health in Marshfield, WI is seeking a Financial Counseling Representative to guide patients through their financial responsibilities and available options. You will answer billing questions, review insurance coverage and EOBs, and explain why charges were incurred.

You will assess eligibility for payment assistance programs, help patients with applications, and educate on insurance concepts and coverage effectiveness in a clinic setting.

Qualifications

• High school diploma or equivalent preferred.
• Post-secondary education preferred.
• Two years' experience in healthcare service or health insurance preferred.

Responsibilities

• Provide financial counseling to help patients understand their financial responsibility and available options.
• Answer billing questions and explain charges to patients.
• Review insurance coverage and Explanation of Benefits (EOBs).
• Explain denials and provide rationale to patients.
• Review payment plan guidelines and help set up arrangements.
• Identify eligibility for payment assistance programs and assist with applications.
• Educate patients on insurance concepts and how coverage dates affect payments.

Education

High school diploma or equivalent

Post-secondary education

Job description

Careers With Purpose

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Facility: Marsh Main
Location: Marshfield, WI
Address: 1000 N Oak Ave, Marshfield, WI 54449, USA
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $17.50 - $28.00

Job Summary

The Financial Counseling Representative provides financial counseling to assist patients in understanding their financial responsibility to Sanford and to offer appropriate resources and options to meet that responsibility. Answers billing questions. Reviews patient's insurance coverage and Explanation of Benefits (EOBs). Provides clarification regarding what charges were incurred and why they were incurred. Reviews insurance denials and provides an explanation for the denial to the patient. Reviews payment plan guidelines and assists in setting up payment arrangements. Determines if patient is eligible for payment assistance programs and assists in the application process, if applicable.

Educates patients regarding insurance concepts, such as what copayments are, what services are covered, effective dates of coverage, when a referral is needed and the effect on insurance, how to obtain a valid referral and resubmit the claim, and how effective dates of coverage influence insurance payments. May assist patient in filling out medical assistance program paperwork, as well as referrals to Medicaid or other insurance aid or disability programs. Frequently advises uninsured patients on outstanding medical costs associated with procedures performed in a clinic setting and establishes a payment plan. Interacts with patients in-person and must be able to empathize with them while also diffusing strong emotions. Calculates and provides cost estimates for medical procedures, including the patient's anticipated share. Advises on and collects prepayments for services not covered by insurance. May perform guest service duties, as needed. Other duties as assigned.

Computer skills sufficient to operate on-line systems and complex software with advanced functionality. Oral and written communication skills sufficient to interpret and apply policies and procedures for clarification and problem resolution. Knowledge of third party payers and basic bookkeeping or accounting principles is required. Requires a thorough understanding of insurance products and the ability to accurately read an EOB to determine what adjustments have been made, what payments have been received, and calculate pending balances.

Qualifications

High school diploma or equivalent preferred. Post-secondary education preferred.

Two years' experience in healthcare service or health insurance preferred.

Benefits

Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [e-mail] .

Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Req Number: R-0274796
Job Function: Revenue Cycle
Featured: No