Financial Counselor (2526)

US Heart & Vascular; Houston (TX); On-site; USD 40,000 - 55,000; Full time

Job summary

US Heart & Vascular is looking for a dedicated candidate for the financial responsibility role in Houston, Texas. The candidate will manage patient financial inquiries, verify insurance benefits, and educate patients about their financial responsibilities prior to service.

Candidates should have a high school diploma and one year of related healthcare experience, alongside strong communication and organizational skills.

Qualifications

• One year of experience in healthcare finance or a related field.
• Ability to communicate clearly and concisely in English.
• Familiarity with regulations like OSHA and HIPAA.

Responsibilities

• Serve as the point of contact regarding financial responsibility for patients.
• Verify benefits and coverage for patient services.
• Educate patients about financial responsibilities and collect payments.

Skills

Medical office procedures

Clinical documentation review

Knowledge of laws and regulations

Attention to detail

Communication skills

Time management

Teamwork

Office 365 (Excel, Word, Outlook)

Education

High School Diploma or GED

Job description

Responsibilities and Duties

• Serves as the point of contact for all financial responsibility and assistance related questions from patients prior to the service being rendered.
• Efficiently and accurately verifies and analyzes the benefits of eligibility and coverage using available tools.
• Determines patients’ financial and insurance status to calculate a good faith estimate based on scheduled services.
• Educates patients about their financial responsibility before services via phone, email, text, portal messages, or other approved modes of communication.
• Performs pre-service collections via phone, portal, or in person.
• Screens self-pay and underinsured patients to identify their ability to pay and implement affordable payment plan agreements for scheduled or prior services rendered.
• Assesses the current financial situation of patients through the verification of patient insurance benefits; serving as the technical expert in confirming patients’ benefit coverage.
• Initiates the financial screening process as appropriate to evaluate eligibility for assistance programs.
• Sets up patients with payment plans in practice management system as appropriate.
• Performs accurate and timely documentation of applicable activities in the EMR billing system.
• Maintains or exceeds baseline productivity standards established by RCM Shared Services within 90 days of employment and onwards.
• Is responsible for compliance with all regulatory requirements and/or guidelines. These requirements/guidelines include, but are not limited to: OSHA, HIPAA, Federal Fraud, and Abuse laws.
• Performs other duties as assigned.

Knowledge, Skills and Abilities Required

• Familiarity with medical office procedures and billing practices.
• Proficient in clinical documentation review for alignment with insurance authorization requirements.
• Knowledge of federal, state, and local laws, statutes, regulations, codes, and standards related to the area of responsibility.
• Knowledge of the principles, concepts, and theories relevant to the assigned functional area.
• Skill in completing assignments accurately and with attention to detail.
• Ability to communicate clearly and concisely both orally and in writing in English, to various audiences.
• Ability to manage time, organize work, set priorities, meet deadlines, and follow up on work assignments with minimal supervision.
• Ability to work independently, and as a team, to complete daily activities according to the work schedule.
• Working knowledge of Office 365 programs such as Excel, Outlook, Word, PowerPoint, etc.

Minimum Qualifications

• High School Diploma or GED from accredited institution.
• One (1) year of experience in the same role, or related field in a healthcare setting.