Financial Counselor

Tufts Medicine Behavioral Health Hospital; Malden (MA); On-site; USD 59,237,000 - 71,635,000; Full time

Job summary

Tufts Medicine Behavioral Health Hospital seeks a knowledgeable Financial Counselor to help patients understand insurance benefits and financial responsibilities. The role covers verification, counseling, upfront collections, payment plans, and maintaining accurate patient financial records.

The ideal candidate has 3+ years in healthcare financial counseling, with strong empathy and communication skills to support patients in a behavioral health setting.

Qualifications

• 3+ years of experience in healthcare financial counseling, patient access, billing, or related field.
• Extensive knowledge of Commercial Insurance, Medicare, and Medicaid.
• Strong customer service, communication, and problem-solving skills.
• Ability to explain complex insurance and financial information to patients and families.

Responsibilities

• Verify insurance benefits and audit admission paperwork for accuracy and completeness.
• Review and update patient demographic and insurance information in the patient accounting system.
• Counsel patients and guarantors regarding insurance coverage, benefits, out-of-pocket costs, and payment options.
• Collect deductibles, copays, coinsurance, and other patient balances.
• Complete financial assistance applications and verify income and expense documentation.
• Prepare charity care, administrative adjustment requests, and payment arrangements as needed.
• Maintain collection, charity, and adjustment logs and review activity with leadership.
• Analyze account information and take appropriate action to support timely payment and reimbursement.

Skills

Communication

Customer service

Problem solving

Empathy

Education

High school diploma or equivalent

Job description

Financial Counselor

We are seeking a knowledgeable and compassionate Financial Counselor to help patients understand their insurance benefits and financial responsibilities. This role is responsible for insurance verification, financial counseling, upfront collections, payment arrangements, and maintaining accurate patient financial records.

Overview

We are seeking a knowledgeable and compassionate Financial Counselor to help patients understand their insurance benefits and financial responsibilities. This role is responsible for insurance verification, financial counseling, upfront collections, payment arrangements, and maintaining accurate patient financial records.

Financial Counselor

The ideal candidate combines strong financial counseling and collections expertise with a genuine desire to help others. Because this is a patient-facing role within a behavioral health environment, we are seeking someone who demonstrates compassion, empathy, patience, and emotional intelligence while assisting patients through challenging situations. Three years of collecting experience is required for this role, five years is preferred.

Responsibilities

• Verify insurance benefits and audit admission paperwork for accuracy and completeness.
• Review and update patient demographic and insurance information in the patient accounting system.
• Counsel patients and guarantors regarding insurance coverage, benefits, out-of-pocket costs, and payment options.
• Collect deductibles, copays, coinsurance, and other patient balances.
• Complete financial assistance applications and verify income and expense documentation.
• Prepare charity care, administrative adjustment requests, and payment arrangements as needed.
• Maintain collection, charity, and adjustment logs and review activity with leadership.
• Analyze account information and take appropriate action to support timely payment and reimbursement.

Qualifications

• High school diploma or equivalent required.
• 3+ years of experience in healthcare financial counseling, patient access, billing, or a related field required.
• Extensive knowledge of Commercial Insurance, Medicare, and Medicaid required.
• Strong customer service, communication, and problem-solving skills.
• Ability to explain complex insurance and financial information to patients and families.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

Pay: $21.00-25.00/hr based on experience AHMKT