Financial Counselor

Spire Orthopedic Partners; Stamford (CT); On-site; USD 36,000 - 45,000; Full time

Benefits offered by this job

Health, dental, vision benefits

401(k) plan

Generous PTO

Diverse practitioner network access

Job summary

Spire Orthopedic Partners in Stamford, CT is seeking an experienced healthcare financial services professional to determine patient financial responsibility and collect prior to scheduled procedures. This full-time role focuses on revenue cycle operations and insurance verification in a fast-paced clinical setting.

You will confirms benefits, educate patients about deductibles, coinsurance and copays, and maintain compliant documentation while collaborating with practices and leadership to

Qualifications

• High School Diploma or equivalent.
• Experience in healthcare financial services and/or revenue cycle preferred.
• Strong knowledge of insurance identification and processes, billing procedures, and healthcare regulations.
• Strong communication skills; bilingual is a plus.
• Proficiency with electronic health record systems and Microsoft Office Suite.

Responsibilities

• Investigates and determines patient financial responsibility for services rendered.
• Collects patient responsibilities prior to scheduled procedures.
• Confirms benefits and patient responsibility before procedures.
• Outbounds calls to educate on financial responsibilities.
• Verifies insurance eligibility prior to services.
• Documents all patient interactions per organizational standards.
• Collaborates with practices and leadership.
• Supports prior authorizations with surgical coordinators.
• Manages revenue cycle communications (email, fax, mail).

Skills

Strong communication skills

Problem-solving skills

Bilingual is a plus

Education

High School Diploma or equivalent

Tools

Electronic Health Records (EHR) systems

Microsoft Office Suite

Job description

Job Details

Level: Experienced

Job Location: Stamford, CT 06905

Position Type: Full Time

Education Level: High School or Equivalent

Salary Range: $26.40 - $33.00 Hourly

Travel Percentage: None

Job Shift: Day

Job Category: Health Care

Who we are:

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.

What you’ll do:

Serves as a primary point of contact to investigate and determine the patient’s financial responsibility for services rendered and collect the patient’s responsibilities prior to scheduled procedures.

Responsibilities/Duties:

• Confirms patient’s benefits to determine any patient responsibility prior to procedure, i.e., deductibles, co-insurance and copays. Both Professional and facility
• Outbound calls to patients to educate on financial responsibilities.
• Verifies insurance eligibility prior to services being rendered.
• Attempts to collect and post patient’s responsibility prior to procedure.
• Maintains documentation of all patient interactions in compliance with organizational standards.
• Maintains collection logs by practice for reconciliation purposes
• Collaborates with Practices and RC Leadership
• Collaborates with Surgical Coordinators to support prior authorizations, review for add-on procedures
• Addressing all Revenue Cycle Correspondences, including but not limited to, email, faxes, written, and internal Practice Management communications
• Other duties as assigned.

Qualifications:

• High School Diploma or equivalent
• Previous experience in healthcare financial services and/or revenue cycle preferred.
• Strong knowledge of insurance identification and processes, billing procedures, and healthcare regulations.
• Strong communication skills, bilingual is a plus
• Strong problem-solving skills.
• Proficiency with electronic health record systems and Microsoft Office Suite.

What we offer:

• Excellent growth and advancement opportunities
• Dynamic environment
• Access to a diverse network of practitioners
• Broad infrastructure of tools and programs to enhance the employee experience
• Competitive Compensation
• Generous PTO
• Benefits package: health, dental, vision, 401(k), etc.

Equal Opportunity

We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as "protected characteristics").