Financial Counselor - Outpatient

Grady Health System; Atlanta (GA); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Health & Wellness

Financial Security

Work‑Life Balance

Career Growth

Employee Support

Job summary

Grady Health System is seeking a Financial Counselor to conduct comprehensive patient interviews and determine eligibility for financial assistance programs. You will verify third party coverage, complete applications, and ensure accurate Epic data entry.

Core duties include communicating discounts and patient financial responsibility, and coordinating with care teams to secure timely authorizations and clearances. This role emphasizes regulatory compliance and patient support.

Qualifications

• Interviews with patients to determine eligibility for financial assistance.
• Verifies third party payer information and potential coverage.
• Completes applications for eligible programs and updates Epic accurately.

Responsibilities

• Interviews patients and families to determine eligibility for financial assistance.
• Verify third party payer information and obtain authorizations as needed.
• Enter patient data and updates in Epic with accuracy.
• Assist patients with discounts and financial responsibilities communications.
• Coordinate with departments to ensure proper financial clearance.

Skills

Patient interaction

Communication

Epic knowledge

Tools

Epic

Job description

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you.

Job Summary

The Financial Counselor's essential duties consist of conducting comprehensive patient interviews while adhering to the Financial Assistance Program standards. Verifies the potential of third party coverage, determine if patients meet criteria for third party assistance programs and completes applications as appropriate. Complies with third party payer standards related to obtaining authorizations/ precertifications. Accurately enters patient information into the enterprise hospital information system, i.e., Epic. Complies with regulatory compliance standards by explaining various documents and obtaining signatures.

The Financial Counselor's essential duties consist of conducting comprehensive patient interviews while adhering to the Financial Assistance Program standards. Verifies the potential of third party coverage, determine if patients meet criteria for third party assistance programs and completes applications as appropriate. Complies with third party payer standards related to obtaining authorizations/ precertifications. Accurately enters patient information into the enterprise hospital information system, i.e., Epic. Complies with regulatory compliance standards by explaining various documents and obtaining signatures.

QUALIFICATIONS:

35% - Interacts with patients, family members, employees, visitors and clinicians regarding financial clearance.

• Provides assistance to patients via the call center, online, and in-person regarding third party payer and eligibility requests.
• Conducts accurate interviews with patients or patients' representatives to determine eligibility for assistance. During the interviewing process, determine if patients meet criteria for any assistance programs and/or Grady's Financial Assistance Program.
• Verifies third party payer information or the possibility of third party payer coverage via electronic verification tools or telephone. Notifies payer of patient's hospital admission. Obtains prior authorization for scheduled procedures, Ambulatory Surgeries and Surgery Admits. Accurately performs registrations and Epic updates with patient demographic, insurance information and authorization accurately.
• Communicates effectively and provides written documentation to patients regarding discounts and patient financial responsibility.
• Analyzes and resolves patient billing inquiries and make adjustments to ensure proper collections of the patient's financial responsibility related to eligibility for financial assistance or third party payer coverage.

20% - Determine if patient meets criteria for other assistance programs and complete applications for assistance as appropriate.

• Completes program applications, e.g., Medicaid, Cancer State Aid, Georgia Crime Victims Compensation Program, etc., application(s) for eligible patients. Secures newborns Medicaid Recipient's Numbers via GAMMIS.
• Submits applications to the appropriate organization for review, approval and/or denial in a timely manner.
• Updates Epic accurately and timely with converted applications and/or status notes.

40% - Ensures financial clearance by verifying third party payer information, coordinating benefits, initiating third party payer notification for emergency admissions/observations, and/or obtain third party payer authorizations.

• Conducts bedside interviews and pre-admission/ambulatory surgery patient interviews to ensure all regulatory compliance documents are explained and patient/patient representative signature is obtained.
• Verifies third party payer information and/or the possibility of third party coverage. Updates Epic with insurance information and coordinate benefits when appropriate.
• Initiates third party payer notification for emergency admissions/observations within payer's specified timeframe and updates Epic with status and notes.
• Coordinates financial clearance for pre-admissions by securing authorization, scheduling pre admission appointments, if applicable, and collecting co-payments/deposits prior to service and post discharge.
• Escorts patients and/or patients' families to various service areas for elective services.

5% - Other duties as assigned.

Must possess knowledge of Hospital Information/Enterprise systems, i.e., EPIC.

Core Competencies

These competencies reflect the values and behaviors expected of all Grady team members, regardless of role. They ensure that every employee contributes to safe, high-quality care, positive patient experience, and a collaborative work environment.

1. 1. Patient-Centered Care - Demonstrates a commitment to delivering safe, compassionate, and high-quality care that prioritizes the well-being and satisfaction of patients and their families.
2. 2.Integrity & Accountability - Acts ethically, maintains confidentiality, and accepts responsibility for actions, decisions, and outcomes.
3. 3.Collaboration & Teamwork - Builds positive relationships, works effectively across departments, and supports colleagues to achieve shared goals.
4. 4. Communication - Communicates clearly, respectfully, and effectively with patients, families, colleagues, and leadership.
5. 5.Respect & Inclusion - Creates an inclusive environment by valuing diversity, treating others with dignity, and ensuring equitable care and opportunities for all.
6. 6. Quality & Safety - Adheres to best practices, regulatory standards, and policies to ensure safe, reliable, and high-quality outcomes.
7. 7. Adaptability & Resilience - Responds effectively to change, remains flexible in dynamic situations, and demonstrates resilience under pressure.
8. 8. Continuous Improvement - Seeks opportunities to improve processes, skills, and outcomes through innovation, learning, and feedback.
9. 9. Leadership & Professionalism - Inspires, guides, and develops individuals and teams while modeling professionalism, fairness, and transparency.
10. 10. Employee Experience Focus - Champions a supportive and engaging employee journey that enables staff to thrive and, in turn, deliver exceptional patient care.

Grady Total Rewards

At Grady, we believe in supporting the health, well-being, and growth of every team member. Our Total Rewards package is designed to provide competitive pay and comprehensive benefits that make a difference in your life and career, including:

• Health & Wellness: Medical, dental, vision, and prescription drug coverage.

• Financial Security: Retirement savings plans with employer contributions, life insurance, and disability coverage.

• Work-Life Balance: Paid time off, holidays, and family leave benefits.

• Career Growth: Tuition reimbursement, professional development programs, and opportunities for advancement.

• Employee Support: Employee Assistance Program (EAP), wellness initiatives, and discounts on services.

Grady's Total Rewards are designed to ensure our employees feel valued, supported, and empowered, both at work and beyond.

Why Join Grady?

Grady Health System is more than a hospital - we are a vital part of Atlanta and the surrounding communities. For over 125 years, Grady has been committed to providing exceptional care, advancing health equity, and making a difference in the lives of those we serve. When you join Grady, you become part of a team that values excellence, compassion, innovation, and collaboration.

Here, every role matters. Whether you provide direct patient care, support our operations, or lead teams, you play an important part in fulfilling our mission. We offer opportunities to learn, grow, and build a meaningful career in an environment where your contributions are recognized and valued.

At Grady, we don't just work, we make an impact.

Equal Opportunity Employer Statement:

Grady Health System is proud to be an equal opportunity employer. We are committed to fostering a workforce where all employees feel valued, respected, and empowered to succeed. We prohibit discrimination and harassment of any kind based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic.

Grady is dedicated to creating an accessible work environment and provides reasonable accommodations to qualified individuals with disabilities to ensure equitable opportunities for success.