Patient Financial Counselor

Sacramento Native American Health Center, Inc; Bowling Green (KY); On-site; USD 42,000 - 56,000; Full time

Job summary

Tennessee Retina is seeking a patient financial counselor to work with patients on insurance coverage, patient costs, and payment options as part of a dynamic ophthalmology team.

Responsibilities include eligibility verification, pre-service cost estimation, and arranging payment plans while maintaining HIPAA-compliant practices in a fast-paced clinic environment.

Qualifications

• High School graduate or equivalent.
• 1+ years of experience handling physician financial counselor duties or similar.
• Experience reading and understanding payer eligibility and CPT/HCPCS terminology.

Responsibilities

• Verify insurance eligibility and determine patient responsibility.
• Contact patients to arrange pre-payments and payment plans.
• Notify Billing Manager if financial arrangements cannot be made.
• Follow Patient Liability Policies and document in PM system.

Skills

Insurance verification

Financial counseling

Patient communication

Billing questions

Medical terminology

Education

High School diploma or equivalent

Tools

Microsoft Office (Word, Excel, Outlook)

Job description

• Employee Type Nonexempt FT
• Required Degree High school

Contact information

• Name Kelly
• Phone Carr

Description

Who We Are

Tennessee Retina is the largest Ophthalmology practice in middle Tennessee, offering rewarding careers across 10 locations. We are committed to providing the highest level of care to our patients in the most convenient and caring manner. Our physicians are leaders in the research and application of new retina, macula, and vitreous treatments.

We are seeking an energetic and collaborative Patient Financial Counselor. The ideal candidate will be responsible for performing day-to-day follow-ups with patients for upcoming appointments to determine insurance coverage, patient costs, and payment options.

This exciting opportunity will involve working closely with and being supported by a team of colleagues, strong leadership, and cutting-edge technology! A day in the life of a Tennessee Retina employee is filled with learning, growing, creating, hard work, and, most of all, fun!

Tennessee Retina offers a competitive salary based on diverse experiences and backgrounds.

This position will train in our Hendersonville Clinic located at 100 Springhouse Ct #240, Hendersonville, TN 37075.

Benefits Offered

• Sign On Bonus, Certification Incentive Bonus, and Length of Service Award Bonus Programs
• Continuing Education Program
• Transportation Reimbursement Program
• Employer-sponsored Medical, Dental, Vision, Critical Illness Coverage, Short-term, Long-Term Disability, & Employee Assistance Program
• 401(k) with Generous Employer Match
• Health Savings Account (HAS) and Flexible Spending Benefits
• Paid Holidays and Paid Vacation
• Employee Referral Award Bonus Program
• Succession, Growth, and Mentorship Opportunities
• Social Gathering and Team Opportunities
• Full new hire training program to fully support, train, and welcome new hires to the team

Responsibilities

• Utilize the practice management system, payor websites, payor benefit line, and fee schedules to verify insurance eligibility, confirm authorization/referral requirements, and determine allowable rates, coinsurance, deductible, and out-of-pocket expenses for estimated patient responsibility associated with procedures and/or surgery. Print routing sheets and document estimated costs in the practice management system and the pre-service estimation worksheet.
• Place phone calls to patients to obtain pre-payment, establish acceptable payment arrangements, and/or acquire information necessary to receive payment from insurance or other sources on all procedures/surgeries.
• Notify the Billing Manager when appropriate financial arrangements per the patient liability policy cannot be made before the patient is treated for services.
• Adhere to best practice standards in performing day-to-day follow-up This includes the following procedures outlined in the Patient Liability Policies.
• Process credit card transactions and patient receipts and check payments received at
• The responsibilities listed are a general overview of the position, and additional duties may be assigned under the direction of the Billing Supervisor and Billing Manager

Education, Training, and Experience

• High School graduate or equivalent
• 1+ years of experience handling physician financial counselor duties or working for Tennessee
• Minimum of one year of insurance verification experience with knowledge of CPT and HCPCS coding
• Experience reading and understanding payer eligibility electronic returns. Includes the ability to differentiate between insurance plans, copay, deductible, and coinsurance (patient responsibility).
• Experience speaking with patients regarding the amounts due before and after scheduled appointments. Includes negotiating pre-service deposit, copay, deductible, and coinsurance amounts.
• Proficient in understanding, reading, and interpreting all contents of the paper and electronic medical charts (ERM) and knowledge of medical terminology.
• Knowledge of Microsoft Office (Word, Excel, Outlook) and the ability to learn and adapt quickly to new software.
• Effective verbal and written communication skills with patients, physicians, management, and employees
• Excellent Organizational skills, multi-task, and logical thinking
• Ability to be proactive, take initiative, and perform well in a fast-paced, high-volume practice.
• Basic understanding of eye anatomy, medical terminology, ocular pathology, and eye diseases.

ConfidentialityMaintains strict confidentiality regarding protected health information (PHI) and understands and adheres to TNR’s HIPAA privacy and security policies and procedures.

Typical Physical and Working Demands

Position requires consistent physical activity, including prolonged walking, sitting, bending, stooping, and stretching. Excellent manual dexterity and hand-eye coordination are essential for operating a keyboard, telephone, photocopier, and specialized optical equipment. Requires the ability to frequently lift, carry, push, and pull heavy items, including optical devices weighing 15 pounds or more. Must possess standard hearing and near/far vision (corrected to normal range) to accurately prepare paper and MDI chart notes, communicate with patients, and generate reports.