Financial Counselor (Full-Time)

OrthoNebraska; Omaha (NE); On-site; USD 42,000 - 65,000; Full time

Job summary

OrthoNebraska is seeking a Financial Counselor to work with clinical and revenue cycle teams to provide timely financial information, including service estimates, financial assistance, and payment plans.

This full-time, weekdays role requires 3+ years in healthcare financial counseling, a high school diploma or GED, strong time management and clear communication, and the ability to explain insurance terms and options to patients.

Qualifications

• High School Diploma or GED required.
• 3+ years of experience in health care or financial counseling.
• Strong communication and time management skills.

Responsibilities

• Advocate for patients and verify insurance coverage before services.
• Determine upfront estimates and document in patient account.
• Contact patients to explain insurance coverage, benefits, and financial responsibility.
• Prepare and communicate Good Faith Estimate (GFE) per policy.
• Take inbound/outbound calls about estimates, GFEs, payments, or assistance.
• Assist with payment arrangements and uphold HIPAA confidentiality.
• Review financial assistance applications and document outcomes.
• Participate in performance improvement activities and department meetings.

Skills

Time management

Clear communication

Multi-tasking

Insurance terms understanding

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

Financial Counselor works closely with our clinical teams, revenue cycle teams, and patients to provide timely and accurate financial information. This includes estimates for upcoming services, financial assistance, extended payment plans, and other financial questions.

Position Details

• Status: Full-Time
• Shift: Days
• FTE / Hours: 1.0 / 40
• Schedule: Mon - Fri: 8:00am - 4:30p

Position Requirements

Education

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

Licensure

N/A

Certification

N/A

Experience

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

Required Knowledge, Skills, and 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

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.