Financial Counselor

CHI Health Clinic; Omaha (NE); On-site; USD 35,000 - 50,000; Full time

Job summary

CHI Health Clinic in Omaha, Nebraska is looking for a patient financial counselor to assist patients with their financial responsibilities regarding healthcare. You'll help patients navigate their insurance options and ensure compliance with internal policies and regulatory requirements.

This role involves direct interaction with patients to provide information on available financial resources, obtaining necessary pre-authorizations, and answering questions about health-plan benefits. Healthcare experience, particularly in revenue cycle functions, is preferred.

Qualifications

• Experience in healthcare collections preferred.
• Knowledge of health care revenue cycle functions required.
• Ability to work with patients on financial options.

Responsibilities

• Perform financial counseling for patients prior to treatment.
• Assist in identifying financial resources for patients.
• Obtain pre-authorizations for services as needed.
• Provide patients with information on payment methods.
• Work with clinic staff to identify patients needing assistance.
• Answer reimbursement questions regarding health-plan eligibility.

Skills

Financial counseling

Customer service

Insurance navigation

Benefit communication

Education

High School Graduate / General Studies

Job description

Job Summary and Responsibilities

This position contributes to the CHI Health vision and mission by the creation, implementation and maintenance of an effective workflow to assist our patients with the financial responsibility of healthcare. This job is responsible for assisting patients by providing information to patients who require assistance navigating through their insurance benefits and financial options in accordance with established business objectives and applicable regulatory requirements. They will collaborate with clinics and other facilities under the supervision of the Patient Financial Services supervisor, to make sure they are assisting the clinics and/or patients in an efficient manner, meets customer/ facility needs and are compliant with internal policies/standards/procedures and applicable regulatory requirements.

• Performs financial counseling process on patients prior to treatment, which includes discussion of health insurance benefits (if applicable) billing practices, pre-collections, and payment arrangements.
• Assists in identifying financial resources available to the patient including Medicaid, Marketplace plans, COBRA, financial assistance, etc.
• Obtains initial and subsequent pre-authorizations for services as needed. Communicates approval/denial of prior authorizations back to clinical staff in a timely manner.
• Provide patients information on costs of service, payment methods and alternatives to payments including other financial options based on eligibility.
• Work with clinic staff to proactively identify patients with potential need for financial assistance options and/or financial counseling on upcoming services.
• Provide answers to reimbursement questions regarding health-plan eligibility, benefit issues, co-pay requirements and medical referral requirements, in compliance with facility guidelines and requirements.

Job Requirements

• High School Graduate / General Studies

Preferred

• Experience in health care revenue cycle functions to include insurance or registration preferred., upon hire and
• Experience in healthcare collections, registration or customer service preferred., upon hire

Where You'll Work

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Total Rewards

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.