Insurance Verification and Financial Counseling Specialist

CommonSpirit Health; Arroyo Grande (CA); On-site; USD 45,000 - 65,000; Full time

Job summary

CommonSpirit Health's Pacific Central Coast Health Centers (PHC) seek a Financial Professional to apply financial expertise to support strategic goals and fiscal health. You will analyze financial data, interpret complex information, and communicate findings to stakeholders, ensuring accuracy and compliance in billing and processes.

In this role, you will guide financial decisions by maintaining up-to-date knowledge of payer guidelines, performing patient interviews for financial clearance, and

Qualifications

• High School Diploma or GED required.
• 1-3 years experience in outpatient/physician office including financial counseling, insurance verification and authorization.

Responsibilities

• Maintains current knowledge of payer and regulatory guidelines for medical insurance claims processing and reimbursement.
• Interviews patients to obtain, clarify and verify all demographic and insurance information and determines status of financial clearance, as needed.
• Identifies and obtains required pre-certifications, authorizations, and/or referrals and enter all information in the appropriate registration and billing systems.
• Performs verification of benefits, either electronically or by telephone, according to PHC procedures and guidelines.
• Analyses patients ability to meet financial obligations and sets up appropriate payment plans.
• Identify insurance guidelines and communicate necessary steps to clinic staff, including physician

Skills

Analytical skills

Attention to detail

Communication skills

Financial counseling

Insurance verification

Authorization

Education

High School Diploma or GED

Job description

CommonSpirit Health's Pacific Central Coast Health Centers (PHC) seek a Financial Professional to apply financial expertise to support strategic goals and fiscal health. You will analyze financial data, interpret complex information, and communicate findings to stakeholders, ensuring accuracy and compliance in billing and processes.

In this role, you will guide financial decisions by maintaining up-to-date knowledge of payer guidelines, performing patient interviews for financial clearance, and