Financial Counselor

Jobtailor

Shaker Heights (OH)

On-site

USD 42,000 - 65,000

Full time

14 days+

Get more replies from employers

Send a job-specific resume in minutes.

Job summary

Jobtailor in Shaker Heights, OH seeks a Revenue Cycle Specialist to support patient accounts, lead collections for pre-service and self-pay balances, and ensure HIPAA compliant billing processes.

You will generate patient estimates, collect deposits, assist with payment plans, and explore financial assistance options while maintaining high service standards in a healthcare setting.

Qualifications

High School diploma or GED required.
5+ years experience in revenue cycle or healthcare related field.
1+ year direct Revenue Cycle Customer or Service Department experience preferred.
Experience with medical billing software required.
Knowledge of managed care insurance requirements essential.
Investigative/research skills to identify financial options for patients.
Exceptional written and verbal communication skills required.
Proficient with digital systems, applications and workflow.
Advanced knowledge of medical billing and claims terminology and workflow processing.
Self-motivated, works independently in a fast-paced environment.

Responsibilities

Provides excellent service and timely support.
Performs assessment and collections on pre-service cases to resolve financial risk or escalate for review.
Generate patient estimation of services and collect the specified deposit.
Monitor, prioritize, collect and resolve self-pay accounts per SOPs.
Assist patients with payment plan arrangements including down payment collection.
Coordinate with departments to ensure eligibility for insurance or government programs.
Process payments by phone and other approved methods.
Inform patients about financial assistance opportunities and eligibility.
Maintain confidentiality and HIPAA compliance at all times.

Skills

Revenue Cycle Management

Medical Billing Software

Managed Care Knowledge

Communication Skills

Investigative Skills

HIPAA Compliance

Customer Service

Problem Solving

Independence

Education

High School Diploma or GED

Tools

Digital Systems

Payment Database

Electronic Check Processing

Credit Card Processing

Job description

Responsibilities

Provides excellent service and timely support.
Performs assessment and collections activity on pre-service scheduled cases to resolve future and previous financial risk or escalates for appropriate review and approval in a timely manner (75%).
Generate patient estimation of services as applicable and collect the specific deposit amount as outlined in UH policy.
Monitor, prioritize, collect and resolve self-pay accounts in accordance with standard operating procedures.
Assist patients with payment plan arrangements including collecting initial down payment as part of the process by following established departmental policy.
Monitor and work Financial Counselor worklist for respective locations and validates against the Encounter Prep Worklist to ensure all scheduled patients have been financially cleared.
Escalate financially risky accounts through designated escalation team for appropriate clinical and financial assessments.
Process payments by phone via electronic check, credit card, hard copy, payment database or any other approved means.
Informs patients and executes financial assistance opportunities (15%).
Understand, explain, execute and help determine eligibility for hospital financial assistance programs.
Coordinates with agencies and other departmental vendors as appropriate to ensure eligibility for possible insurance coverage or government programs has been thoroughly reviewed and pursued.
Coordinates customer service support for patients inquiring about their account (10%).
Identify patient or customer needs, clarify information, research and analyze issues, and provide solutions and/or appropriate alternatives.
Maintain patient and physician confidentiality and professionalism in accordance with departmental and HIPAA guidelines at all times.

Requirements

High School Equivalent / GED (Required)
5+ years experience in revenue cycle or healthcare related field (Required)
1+ years direct Revenue Cycle Customer or Service Department, collection agency or sales experience (Preferred)
Experience with medical billing software (Required)
Knowledge of managed care insurance requirements is essential (Required proficiency)
Investigative/research skills to identify financial options for patients. (Required proficiency)
Exceptional written and verbal communication skills (Required proficiency)
Proficient with digital systems, applications and workflow. (Required proficiency)
Advanced knowledge of medical billing and claims terminology and workflow processing. (Required proficiency)
Self-motivated, works independently and consistently demonstrates the ability to perform with little to no supervision in a fast-paced environment. (Required proficiency)

Core Competencies

Demonstrates expertise in revenue cycle management, including patient financial assessments, collections, and medical billing processes. Proficient in utilizing digital systems and applications to enhance workflow efficiency while maintaining compliance with HIPAA guidelines.

Highest-signal resume keywords