Financial Counselor - Pre-Services

HonorHealth; Phoenix (AZ); On-site; USD 42,000 - 54,000; Full time

Job summary

HonorHealth in Phoenix, AZ seeks a Pre-Registration specialist in Billing and Revenue Cycle to establish accounts for scheduled patients, gather demographics and insurance details, and secure pre-authorization with accuracy.

The role emphasizes collecting patient responsibility, offering financial counseling, and ensuring compliance with Medicare and payer requirements; prior experience in hospital registration or billing is preferred.

Qualifications

• High School Diploma or GED is required.
• Associate's Degree in related healthcare field is preferred.
• 1 year in healthcare field including medical office insurance/front desk, hospital registration, hospital business office (billing or collections) is required.

Responsibilities

• Verifies patients' insurance coverage, eligibility, and financial obligation for all scheduled services, documenting in the system.
• Creates/updates hospital account and enters patient demographics and insurance information in the hospital information system after scheduling.
• Contacts patients to verify demographic information and to perform financial counseling prior to time of service.

Education

High School Diploma or GED - Required

Associate's Degree in related healthcare field - Preferred

Job description

Primary City/State: Deer Valley - 2500 W Utopia Rd Phoenix, AZ 85027

Category: Billing and Revenue Cycle

Shift: Day

Department: Pre-Registration

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

• Associate's Degree in related healthcare field - Preferred
• High School Diploma or GED - Required

Experience

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

Licenses and Certifications

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