Financial Counselor - Pre-Services

HonorHealth; Alaska; On-site; USD 38,000 - 52,000; Full time

Job summary

HonorHealth is seeking a Billing and Revenue Cycle professional to ensure patient accounts are established with accurate demographics and insurance information, and to secure pre-authorization for scheduled procedures.

The role requires verifying coverage, entering patient data into the hospital information system, and performing financial counseling to discuss payment plans and assistance, in line with department policies.

Qualifications

• Verify insurance coverage and eligibility for all scheduled services.
• Obtain authorizations and ensure compliance with Medicare/payer requirements.
• Provide financial counseling and arrange payment plans.

Responsibilities

• Verify insurance coverage, eligibility, and authorizations.
• Create/update hospital accounts with patient demographics and billing info.
• Contact patients for demographic confirmation and financial counseling.

Skills

Insurance verification

Financial counseling

HIPAA compliance

Customer service

Communication

Education

High School Diploma or GED

Associate degree in related healthcare field

Tools

Hospital information system

Billing software

Job description

HonorHealth Billing and Revenue Cycle Opportunity

Great care starts with great people. (Like you.)

At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities

JOB SUMMARY

Ensures that an account is established for every scheduled patient. Obtains complete and accurate patient demographics, insurance plan and benefits information, and ensures treatment authorization is secured in advance of the scheduled procedure while maintaining a minimum accuracy rate on reviewed accounts as defined by departmental standards.

ESSENTIAL FUNCTIONS

• Verifies patients' insurance coverage, eligibility, and Point of Service financial obligation for all scheduled services, and documents the system in detail. Adheres to all third party payer requirements for both government and commercial payers. Determines insurance eligibility and coverage, obtains/confirms authorization to avoid non-compliance and penalties to the patient, health system and physician. Communicates current Medicare requirements, HIPAA compliance and reimbursement criteria. Collaborates with Case Management to ensure patient status is correct and documentation is provided to insurances as needed.
• Creates and/or updates hospital account. Obtains and enters into hospital information system required patient demographics and insurance information in a timely manner after procedure is scheduled. Documents all information according to departmental guidelines. Provides feedback to supervisor on changes/updates implemented by insurances as obtained.
• Contacts patients to verify demographic information and to perform financial counseling prior to time of service. Collects patient responsibility due, provides information on payment plans and financial assistance as necessary. Follows department and network policies concerning discounts, package rates and basic financial assistance.

EDUCATION

• High School Diploma or GED Required
• Associates in related healthcare field Preferred

EXPERIENCE

• 1 year in healthcare field including medical office insurance/front desk, hospital registration, hospital business office (billing or collections) Required or
• 3 years in healthcare field including medical office insurance/front desk, hospital registration, hospital business office (billing or collections) Preferred