Financial Counselor- FS

OU Medicine; Edmond (OK); Hybrid; USD 42,000 - 65,000; Full time

Benefits offered by this job

PTO

401(k)

Medical plans

Dental plans

many more

Job summary

OU Health in Edmond, OK seeks a Financial Counselor II to guide patients through insurance coverage, estimate financial responsibility, and arrange payments. This role supports staff, trains new teammates, and coordinates with leaders to ensure smooth operations.

The successful candidate will review EMR data, verify insurance, and explain benefits and options to patients and families, while maintaining confidentiality and delivering excellent customer service.

Qualifications

• Education requirement: High School Diploma or GED.
• 3+ years experience in Patient Access, healthcare, or billing.
• HFMA CRCR or CHFP certification required within 180 days of hire.

Responsibilities

• Review EMR and visit in-house patients to collect estimated patient portion amounts.
• Obtain and verify patient insurance information and update medical records accordingly.
• Provide financial counseling to patients - explaining insurance benefits, payment options, and financial responsibilities.
• Assist patients with payment arrangements, charity applications, and Medicaid/state aid applications.
• Monitor and maintain patient financial status to ensure accounts are within acceptable limits.
• Post Emergency Room and Patient Access deposits into the system.
• Enter insurance information into EMR and update system notes.
• Provide estimates to patients and physicians as requested.
• Coordinate with case management and insurance verification for concurrent certification.
• Receive and receipt payments per internal cash control procedures.
• Assist patients with obtaining financial resources for prescriptions through pharmaceutical grants and aid programs.
• Act as a patient advocate when communicating with insurance carriers or financial institutions.
• Review outstanding insurance claims and coordinate follow-up with billing staff.
• Prepare medical necessity letters and process related documentation.
• Maintain insurance files and stay updated on changes.
• Educate staff on procedural changes and updates.
• Relieve staff during absences and ensure coverage.
• Assume charge responsibility in the absence of management.
• Precept new employees and act as a mentor to others.
• Ensure compliance with departmental policies and procedures.

Skills

Advanced verbal and written comms

Interpersonal skills

Cross-department collaboration

Confidentiality and professionalism

Finance, math, and PC skills

Education

High School Diploma or GED

HFMA CRCR or CHFP certification within 180 days

Tools

Word

Excel

EMR systems

Billing software

Job description

Position Title: Financial Counselor- FS Department: Admitting

Job Description: The Financial Counselor II provides financial guidance and support to patients by reviewing insurance coverage, estimating patient financial responsibility, and assisting with payment arrangements and financial aid applications. In addition to core responsibilities, this role serves as a resource and role model for staff, supports training and onboarding, monitors team performance, and facilitates communication between staff and leadership to ensure operational excellence.

Essential Responsibilities

• Review EMR and visit in-house patients to collect estimated patient portion amounts.
• Obtain and verify patient insurance information and update medical records accordingly.
• Provide financial counseling to patients - explaining insurance benefits, payment options, and financial responsibilities.
• Assist patients with payment arrangements, charity applications, and Medicaid/state aid applications.
• Monitor and maintain patient financial status to ensure accounts are within acceptable limits.
• Post Emergency Room and Patient Access deposits into the system.
• Enter insurance information into EMR and update system notes.
• Provide estimates to patients and physicians as requested.
• Coordinate with case management and insurance verification departments for concurrent certification.
• Receive and receipt payments in accordance with internal cash control procedures.
• Assist patients with obtaining financial resources for prescriptions through pharmaceutical grants and aid programs.
• Act as a patient advocate when communicating with insurance carriers or financial institutions.
• Review outstanding insurance claims and coordinate follow-up with billing staff.
• Prepare medical necessity letters and process related documentation.
• Maintain insurance files and stay updated on changes.
• Diffuse minor issues and elevate major concerns to senior leadership.
• Maintain professional image and deliver excellent customer service.
• Attend mandatory training and demonstrate knowledge of safety and compliance protocols.
• Handle complex insurance verifications and pre-authorizations.
• Maintain effectiveness of patient flow and ensure compliance with safety and regulatory standards.
• Educate staff on procedural changes and updates.
• Relieve staff during absences and ensure coverage.
• Assume charge responsibility in the absence of management.
• Precept new employees and act as a mentor to others.
• Ensure compliance with departmental policies and procedures.
• Support management with special projects and reporting as needed.

General Responsibilities

Performs other duties as assigned.

Minimum Qualifications

Education Requirements: High School Diploma or GED required.

Experience Requirements: 3 or more years of experience in Patient Access, healthcare, or billing required.

License/Certification/Registration Requirements: Certified Revenue Cycle Representative (CRCR) issued by the Healthcare Financial Management Association (HFMA) or Certified Healthcare Financial Professional (CHFP) issued by HFMA required within 180 days of hire.

Knowledge/Skills/Abilities Requirements

• Advanced verbal and written communication skills.
• Advanced interpersonal skills and ability to handle sensitive situations tactfully.
• Advanced ability to work collaboratively across departments.
• High level of confidentiality and professionalism.
• Proficiency in finance, mathematical computations, and PC applications (Word, Excel, etc.).
• Advanced organizational and time management skills.
• Detail-oriented with the ability to work under pressure.
• Advanced knowledge of HIPAA regulations.
• Ability to interpret business and policy documents.
• Understanding and sensitivity to patient needs.

Other Information

We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more.

• PTO
• 401(k)
• medical plans
• dental plans
• many more

We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.

OU Health is the state’s only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma’s largest doctor network with a complete range of specialty care.

OU Health serves Oklahoma and the region with the state’s only freestanding children’s hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community.

Becker’s Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Health’s oncology program at OU Health Stephenson Cancer Center was named Oklahoma’s top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure.

OU Health’s mission is to lead healthcare in patient care, education and research. Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals.

We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non-clinical opportunities to further your career and we invite you to explore our available positions.

Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training.

Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.