Ld Financial Counselor

Phoenix Children's; Phoenix (AZ); On-site; USD 65,000 - 90,000; Full time

Job summary

Phoenix Children's in Phoenix, AZ is seeking a Lead Financial Counselor to guide families through insurance benefits, payment options, and out-of-pocket costs, coordinating with the care team to ensure clarity and coverage.

The role trains Family Financial Counselors, backs up staff during shortages, and collaborates with insurers and government entities to navigate payer rules and financial assistance programs.

Responsibilities

• Conducts training and quality assurance with family financial counselors to ensure understanding of duties and standards.
• Maintains positive relationships with patients, guarantors, insurers, government entities, clinical personnel, and management.
• Acts as back up for staff shortages and covers duties of Family Financial Services Counselor.
• Participates in unit and hospital education programs to maintain current skills.
• Provides input on staff performance to the Supervisor of Admitting and Financial Counseling.
• Resolves problems with internal and external clients involving supervisors when needed.
• Maintains deep knowledge of Federal Marketplace, Medicare, Managed Care, AHCCCS, and payer rules.
• Serves as primary financial contact for international patients seeking care at PC/PCMG.
• Performs other related duties as requested.

Skills

Leadership

Training

Customer service

Job description

Ld Financial Counselor

Department: CORP | Financial Counseling

Location: Phoenix

Shift: Mon-Fri, Days, 8am-5pm

Category: Patient Financial Services

Posting #: 1058302

Employee Type: Full-Time

Position Summary

This position guides and trains the Family Financial Counselors in working with patient families to educate them on insurance benefits, payment options and out of pocket amounts due, assisting them in obtaining 3rd party coverage through government and commercial avenues and walking them through the Phoenix Children's financial assistance and premium assistance programs when applicable. The Lead Financial Counselor thinks creatively about coverage options in a changing healthcare environment and provides a customer service friendly approach that is coordinated with with the patient's care team in order to ensure that the family has a full understanding of liability, coverage and coverage options, and payment options.

Position Duties

• Conducts training and quality assurance with family financial counselors to ensure that they understand all aspects of their job duties and are performing them consistently and at the standard level set by the organization. Ensures that staff are oriented to the job expectations so they may fully carry out their responsibilities.
• Maintains a positive working relationship with patients/guarantors, insurance companies, government entities, clinical personnel, co-workers and management to promote teamwork, cooperation and a positive public image for Phoenix Children's.
• Fulfills all the duties of the Family Financial Services Counselor and acts as back up coverage for staff shortages due to PTO, open positions, and times of high volume.
• Participates in a variety of unit and hospital education programs to maintain current skill and competency levels.
• Provides input regarding staff performance to the Supervisor of Admitting and Financial Counseling such that he/she can review employees' performance annually and can take corrective action when necessary.
• Resolves problems with internal and external clients. Involves other supervisors an department leadership as necessary.
• Maintains an in depth understanding of the Federal Marketplace, Medicare, Managed Care, AHCCCS, and other third party payer rules, authorization and billing requirements.
• Acts as primary financial contact for all international patients seeking health care services from PC/PCMG.
• Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable