Financial Counselor (Full-Time)

Orthopaedic Management Services; Oakview (MO); On-site; USD 42,000 - 66,000; Full time

Job summary

OrthoNebraska is seeking a Financial Counselor to support revenue cycle by providing timely and accurate financial information to patients and coordinating with insurance providers. The role emphasizes patient advocacy, upfront estimates, payment options, and compliance within a fast-paced healthcare setting.

The candidate will communicate effectively about deductibles, coinsurance, and copays while handling calls and assisting with financial assistance processes, ensuring accurate documentation

Qualifications

• High School Diploma or GED required.
• 3+ years of experience in health care or a financial counseling role.

Responsibilities

• Advocate for patients and verify insurance coverage before services.
• Explain upfront estimates and Good Faith Estimates to patients.
• Communicate payment options and pre-payment processes via patient preferred method.
• Prepare and communicate Good Faith Estimates (GFE) per policy.
• Handle inbound and outbound calls regarding estimates, GFEs, payments, or financial assistance.
• Maintain HIPAA compliance and participate in department meetings.

Skills

Time management

Calm under pressure

Communication

Multi-tasking

Payor contracts

Education

High School Diploma or GED

Job description

OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work.

Position Summary

The Financial Counselor revenue cycle teams, and patients to provide timely and accurate financial information.

Hours/Schedule

40 / Mon - Fri: 8:00am - 4:30p

Education

High School Diploma or General Educational Development (GED) required.

Experience

3+ years of experience in Health Care a financial counseling related role required.

Knowledge/Skills/Abilities

This position requires a great deal of time management. Must be able to demonstrate calm and rational thinking and be able to communicate and provide detailed explanations in a clear and concise manner. Must be able to multi-task with multiple interruptions in a fast-paced environment. Must be able to read payor contracts, and understand insurance terms such as deductible, out of pocket, coinsurance, and copay.

Essential Job Functions

• The Financial Counselor serves as a patient advocate.
• Collaborates with external parties to verify the patient’s insurance coverage prior to services being rendered which includes calling or using a portal.
• Determines estimate amounts, fills out the upfront letter and sends the letter to the patient via their preferred method (when appropriate), and documents in the patient’s account.
• Contacts the patient/guarantor to discuss the pre-payment process for their upfront estimate, advising patients via their preferred contact method of their insurance coverage, benefits, financial responsibility, and payment options.
• Prepares and communicates Good Faith Estimate (GFE) in accordance with policy for all OrthoNebraska locations.
• Does on the fly estimates when requested by patients or the clinical teams.
• Collects payments for both clinic and hospital if required utilizing online payment applications.
• Assists with payment arrangements as per our policy.
• Reviews and makes final determination on financial assistance applications returned by the patient/guarantor as per the financial assistance policy and documents the account.
• Apply appropriate adjustments to the account dependent on the outcome of financial conversations.
• Prepares Advanced Beneficiary Notices (ABNs) or waivers for patients who are requesting services that are non covered or deemed not medically necessary per their insurance company and informs Patient Access.
• Takes both inbound/outbound calls regarding estimates, GFEs, payments, or financial assistance.
• Completes items identified in work queues in a timely manner.
• Maintains patient confidentiality by understanding HIPAA regulations.
• Participate in performance improvement activities.
• Attend and participate in department meetings.
• Follow established guidelines as stated in the policies and procedures of Patient Financial Services at OrthoNebraska.
• Informs Assistant Manager/Manager of patient complaints and/or issues in a timely manner.
• Demonstrates Always TRUE and the OrthoNebraska Way.
• Other duties as assigned.

Physical requirements

Physical requirements This position is classified as Sedentary Work in the Dictionary of Occupational Titles, requiring the exertion of up to 10 pounds of force occasionally) up to (33% of the time) and/or a negligible amount of force frequently (33%-66% of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time Must be able to pass background check. We also conduct pre-employment physical and drug testing. Any job offer will be contingent upon successful completion of a pre-employment physical with a drug screen, background check and obtaining active licensures per job requirements.

OrthoNebraska creates the inspired healthcare experience all people deserve by giving a direct path to personalized care and life-enhancing outcomes. Routinely recognized as one of Omaha's top employers, OrthoNebraska is all about people. Our approach is grounded in collaboration. This means the physician, care team, support staff, patient, and caregivers work together to get patients back to what they love. Join the OrthoNebraska team, and work in a place where your ideas are celebrated and you have room to make your career journey your own.