Financial Counselor

Spire Orthopedic Partners; Stamford (CT); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Excellent growth and advancement opportunities

Generous PTO

Benefits package: health, dental, vision, 401(k)

Job summary

Spire Orthopedic Partners, located in Stamford, Connecticut, is looking for a role involving investigation of patients’ financial responsibilities and assisting with prior authorizations. You will confirm patient benefits, educate them on their financial responsibilities, and maintain documentation of interactions in accordance with organizational standards.

The ideal candidate has a High School Diploma and experience in healthcare financial services. The position offers excellent growth opportunities in a dynamic environment with competitive compensation and benefits.

Qualifications

• Experience in healthcare financial services and/or revenue cycle preferred.
• Strong knowledge of insurance identification and processes, billing procedures, and healthcare regulations.
• Proficiency with electronic health record systems and Microsoft Office.

Responsibilities

• Investigate and determine the patient’s financial responsibility.
• Educate patients on financial responsibilities via outbound calls.
• Verify insurance eligibility prior to services.

Skills

Healthcare financial services experience

Knowledge of insurance processes

Strong communication skills

Bilingual skills

Problem-solving skills

Education

High School Diploma or equivalent

Tools

Electronic health record systems

Microsoft Office Suite

Job description

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.

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").