Financial Counselor I

Community Health Systems; Fort Wayne (IN); On-site; USD 42,000 - 64,000; Full time

Job summary

Community Health Systems is seeking a Financial Counselor I to support patient access and revenue cycle operations. You will verify insurance coverage, secure financial arrangements, and coordinate patient account management to facilitate timely processing and resolution.

In this role you will counsel patients, assist with financial applications, and collaborate with payors and internal teams to ensure accurate billing and positive patient experiences throughout the care continuum.

Qualifications

• Post secondary education or training in medical office administration or healthcare administration preferred.
• 0-2 years of experience in healthcare registration, billing, collections, or a related field required.
• 2-4 years of experience in financial counseling or insurance verification preferred.

Responsibilities

• Establishes payment arrangements with patients according to departmental policies and procedures.
• Accurately completes and submits financial assistance applications and follows up on required documentation.
• Verifies insurance eligibility and benefits, and ensures appropriate authorizations are obtained when applicable.
• Reviews daily admission and missed opportunity reports to ensure all accounts have a valid payment source or financial counseling documentation.
• Responds to patient inquiries regarding account balances, billing concerns, and insurance coverage; returns all patient calls in a timely and professional manner.
• Reviews and processes adjustment requests and monitors approved adjustments for accuracy.
• Maintains account documentation by recording all actions and communications in the appropriate system using correct comment types.
• Establishes and maintain communication with patients throughout the continuum of care, including pre-admission, point-of-service, and post-discharge financial follow-up.
• Coordinates with other departments as needed to resolve account issues and ensure account accuracy.
• Retrieves and responds to voicemails from departmental customer service lines and ensures timely follow-up.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Skills

Customer service

Healthcare billing

Insurance verification

Communication

Task organization

Electronic health record systems

Education

Postsecondary healthcare admin training

Tools

Google Workspace

Microsoft 365

Job description

Job Summary

The Financial Counselor I supports patient access and revenue cycle operations by verifying insurance coverage, securing financial arrangements, and coordinating all aspects of patient account management. This role serves as a key resource for patients by providing financial counseling, facilitating assistance applications, and ensuring accounts are processed accurately and in a timely manner. The Financial Counselor I interacts regularly with patients, insurance payors, and internal departments to promote account resolution and ensure a positive patient financial experience.

Essential Functions

• Establishes payment arrangements with patients according to departmental policies and procedures.
• Accurately completes and submits financial assistance applications and follows up on required documentation.
• Verifies insurance eligibility and benefits, and ensures appropriate authorizations are obtained when applicable.
• Reviews daily admission and missed opportunity reports to ensure all accounts have a valid payment source or financial counseling documentation.
• Responds to patient inquiries regarding account balances, billing concerns, and insurance coverage; returns all patient calls in a timely and professional manner.
• Reviews and processes adjustment requests and monitors approved adjustments for accuracy.
• Maintains account documentation by recording all actions and communications in the appropriate system using correct comment types.
• Establishes and maintain communication with patients throughout the continuum of care, including pre-admission, point-of-service, and post-discharge financial follow-up.
• Coordinates with other departments as needed to resolve account issues and ensure account accuracy.
• Retrieves and responds to voicemails from departmental customer service lines and ensures timely follow-up.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• Post secondary education or training in medical office administration or healthcare administration preferred
• 0-2 years of experience in healthcare registration, billing, collections, or a related field required
• 2-4 years of experience in financial counseling or insurance verification preferred

Knowledge, Skills and Abilities

• Knowledge of healthcare billing and insurance verification processes.
• Strong interpersonal and communication skills with a customer service focus.
• Ability to organize and prioritize tasks in a fast-paced environment.
• Proficiency in Google and Microsoft platforms and electronic health record systems
• Ability to maintain confidentiality and professionalism in all patient interactions.