Financial Counselor I

United Digestive; Atlanta (GA); On-site; USD 35,000 - 52,000; Full time

Job summary

United Digestive, LLC in Atlanta, GA is seeking a Financial Counselor I to verify insurance benefits for endoscopy, hospital procedures, and office visits, and to assist patients with payment plans.

You will handle referrals, authorizations, answer internal lines, maintain HIPAA compliance, and collaborate with the Financial Counselor Manager to ensure timely payments.

Qualifications

• 3–5 years of insurance verification, prior authorization, and precertification experience in a medical setting (gastroenterology preferred).
• Computer literate with the ability to type 40 words per minute and operate practice and Microsoft Office applications.
• Excellent verbal and written communication skills and attention to detail.

Responsibilities

• Verifies and documents benefits for endoscopy and hospital procedures and office visits.
• Manages referrals and authorizations, average 23+ verifications per day.
• Answers internal FC phone line and voicemails; assists with billing issues.
• Monitors account status and notifies staff of cancellations or postponements.
• Works with self-pay patients to set up payment plans; updates patient demographics.
• Maintains HIPAA confidentiality and supports staff meetings and projects.

Skills

Insurance verification

Prior authorizations

Precertification

HIPAA knowledge

Typing 40 wpm

Verbal communication

Written communication

Microsoft Office

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

GENERAL SUMMARY OF DUTIES: Responsible for financially securing patient accounts for endoscopy and hospital procedures and office visits, including verifying benefits, managing referrals and authorizations, and notifying patients of financial responsibility. Responsible for answering internal FC phone line and returning internal FC voicemails.SUPERVISION RECEIVED: Reports to Financial Counselor ManagerRESPONSIBILIITESDuties include but are not limited to:Utilizes Greenway and Authorization Worklist to verify and thoroughly document benefits for endoscopy and hospital procedures and manages referrals/authorizations with an average of 23+ verifications per day.Monitors status of pending accounts and notifies appropriate office and managerial staff in the event of a required postponement or cancellation.Maintains an error rate of less than 2% of total volume worked for the previous 2 quarters.Answers the internal FC phone line and assists employees with verification and billing issuesUtilizes Greenway and Authorization Worklist to verify and thoroughly document benefits for office visits and manages referrals/authorizations a minimum of 3 days prior to date of service.Works with self-pay patients, patients with large outstanding balances, and patients with large time of service deposits to set up payment plans.Assists Financial Counselor Representative with FC Patient Voicemail and returns patient phone calls in a timely manner.Assists Financial Counselor Representative with OTH-FC Document Import folder.Assists Financial Counselor Representative with FC Patient Portal tasksWorks inquires received through FC Patient Voicemail from self-pay patients, patients with large outstanding balances, and patients with large time of service deposits and assists said patients with setting up payment plans.Completes special verification assignments, as assigned.Calculates and notifies patients of payments, outstanding balances, and deposits due.Collects, records, and updates patient demographic and insurance information according to the United Digestive, LLC documentation requirementsAccurately provides or counsels patients and/or relatives with pertinent information regarding payment for medical treatment or proceduresHas a strong knowledge and understanding of different insurance plansMeets or exceeds quality and productivity standardsAnswers emails and voicemails in a timely and efficient mannerCompletes requests for information from other United Digestive, LLC staff and ensures that they are handled promptly and effectively to guarantee payment on patient accountsAbides by and promotes HIPAA compliance; maintains strictest confidentiality with regards to patient informationParticipates in staff meetings as directedParticipates in marketing activities as directedCompletes any other duties and/or special projects as assignedEDUCATION, REQUIRED SKILLS AND EXPERIENCEHigh School Diploma or GED required; 3-5 years of insurance verification, prior authorization, and precertification experience in a medical setting, gastroenterology experience preferred. Financial Counselor I must be computer literate, able to type 40 words per minute, and able to operate practice and Microsoft Office applications. Excellent verbal and written skills and attention to detail. Certified Financial Counselor, Certified Patient Account Representative, or similar a plus.ADDITIONAL SKILLS AND EXPERIENCEFinancial Counselor I must be able to:Possess the ability to assist patients, visitors, co-workers, and physicians with courtesy and respectDisplay a professional, outgoing, warm, and helpful attitudePossess compassion when assisting people who are ill and need helpPlan, prioritize, and complete multiple tasks as delegated by the Department ManagerWork under pressure, assess, respond, and communicate issues in a timely mannerCommunicate clearly and professionally with patients and coworkers via telephone, email, and/or in-person correspondenceInterpret and apply clinical and non-clinical best practicesPHYSICAL/MENTAL/ENVIRONMENTAL DEMANDSRequires sitting and standing associated with a normal office environment; Travel within the Metro area required.DRUG FREE WORKPLACEUnited Digestive, LLC is a drug free workplace. All offers of employment are contingent upon passing a pre-employment drug screening.EQUAL OPPORTUNITY EMPLOYERUnited Digestive, LLC is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, military or veteran status, gender, color or national origin in its employment practices.