Patient Financial Counselor

R1 RCM Holdco Inc.; Lehi (UT); On-site; USD 21,000 - 30,000; Full time

Job summary

R1 RCM Holdco Inc. in Utah is seeking a Financial Counselor to explain patient financial responsibilities, discuss payment options, and advocate for patients with insurance carriers.

The role involves guiding patients toward available financial assistance and coordinating with case management and Medicaid-related programs. Responsibilities include initiating prepays, verifying eligibility for assistance, and maintaining precise documentation.

Qualifications

• High school diploma is required.
• At least one year of call center experience.
• Attention to detail.
• Strong customer service experience.
• Ability to multi-task and navigate between multiple systems simultaneously.
• Ability to handle a large volume of incoming calls.

Responsibilities

• Explain financial responsibilities for services received, payment options and collection procedures to patients or parties responsible for payment.
• Counsel patients regarding insurance benefits and recommend alternative sources of payment and financial assistance when appropriate.
• Contact insurance carriers or other sources and act as an advocate for the patient.
• Initiate process for collecting prepays due and perform follow up activity to insure maximum collection is achieved.
• Identify hospital, public and private financial assistance programs for patients unable to meet their financial obligations.
• Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in completing assistance program applications and determine eligibility and coverage.
• Notify manager, physician and servicing department of possible delay of service for any elective, urgent admissions, procedures and scheduled diagnostic testing which have not been approved prior to the date of service.
• Maintain accurate documentation of pre-processing information.
• Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency.
• Perform all other duties and projects as assigned.

Skills

High school diploma

Call center experience

Attention to detail

Customer service experience

Multitasking across systems

Handle high call volume

Job description

R1 RCM Holdco Inc. in Utah is seeking a Financial Counselor to explain patient financial responsibilities, discuss payment options, and advocate for patients with insurance carriers.

The role involves guiding patients toward available financial assistance and coordinating with case management and Medicaid-related programs. Responsibilities include initiating prepays, verifying eligibility for assistance, and maintaining precise documentation.