Summary
The Financial Counselor serves as the main contact for patients regarding financial matters. This role reviews treatment costs and out-of-pocket expenses, advises on insurance coverage, eligibility, and payment options, collects payments, sets up payment plans, calculates cost estimates, and reviews accounts.
Position Requirements
- Prepares and reviews patient cost estimates for numerous services, including office visits, procedures, surgeries, imaging, durable medical equipment (DME), and injections, with patients in person or over the phone.
- Collects co-payments, deductibles, coinsurances, and upfront costs indicated by patients’ insurance carrier and in accordance with Pinehurst Surgical Clinic’s policies.
- Manages patient phone calls and in-person requests including:
- Resolving patient inquiries
- Answering billing questions
- Accepting payments by phone or in person
- Establishing payment plans
- Demonstrating knowledge of accepted payment methods, including cash, credit cards, checks, and Care Credit contacts
- Collecting unpaid balances
- Educating patients on their overall financial responsibility
- Assisting patients in setting up payment plans in accordance with Pinehurst Surgical Clinic’s payment plan policy
- Completing individual daily deposits and compiling and reconciling overall department deposits from individual staff, including filling out deposit forms and necessary paperwork
- Performs other related duties as assigned in support of clinic operations.
Preferred Qualifications
- 2-4 years of experience in healthcare, finance, billing, or patient access roles. High school diploma or equivalent.
- Knowledge of insurance processes, including Medicare, Medicaid, and medical terminology, with the ability to read and interpret claims.
- Proficiency in Microsoft Office with strong data entry skills.
- Understanding of billing and payment options, including rules and regulations of contractual and non-contractual insurance carriers.
- Ability to maintain confidentiality and HIPAA compliance.
- Ability to multitask while maintaining accuracy and strong attention to detail.
- Effective communication, organizational, and customer service skills with the ability to speak clearly and concisely.
Personal Characteristics
- Compassionate and patient when working with individuals facing financial or medical stress.
- Professional demeanor and appearance that reflects the standards of Pinehurst Surgical Clinic.
- Effective communication and interpersonal skills with patients, families, and fellow co-workers.
- Strong organizational skills and diligence in managing sensitive financial and patient information.
- Demonstrates empathy, integrity, and respect in all interactions with patients and colleagues. Positive attitude with the ability to remain calm and supportive in challenging and fast paced situations.
- Commitment to teamwork and a pleasant, professional attitude in all workplace interactions.