Patient Financial Counselor- Hybrid in CT

Ria Health; New Haven (CT); Hybrid; USD 80,000 - 100,000; Full time

Job summary

A leading telehealth company is seeking a Patient Financial Counselor to manage patient accounts and navigate insurance billing processes. Responsibilities include obtaining authorizations, communicating with patients, and handling billing inquiries. The ideal candidate will have a background in medical billing and excellent problem-solving skills. This role offers competitive hourly compensation and opportunities for professional growth in a mission-driven team environment.

Benefits

Competitive compensation

Unlimited PTO for full-time team members

Professional growth opportunities

Qualifications

• 2+ years of experience in the medical billing field.
• Strong medical coding and ICD-10 knowledge preferred.
• Ability to work independently with minimal supervision.

Responsibilities

• Obtain authorizations for UHC members and other payers.
• Submit prior authorization requests to insurance carriers.
• Communicate with patients regarding billing issues.

Skills

Medical billing experience

Problem-solving skills

Communication skills

Attention to detail

Education

Associates degree or equivalent experience

Tools

AthenNet

Job description

Overview

Patient Financial Counselor - Hybrid in CT

Location: New Haven, CT, 06511

Job ID: 27763071

Work Arrangement: Hybrid (remote in the United States; telehealth-enabled)

Responsibilities

• Obtain authorizations for UHC members, and for other payers requiring authorization.
• Submit prior authorization requests to insurance carriers.
• Obtain and track authorizations as required by payers.
• Communicate with patients regarding billing issues via phone or application.
• Manage patient Accounts Receivable and assess patient balances to ensure accurate billing; provide follow-up on balances.
• Monitor upcoming appointment lists for open balances and maintain the inactive COF report.
• Handle all assigned worklists related to patient issues, self-pay collections, billing, and patient statement review.
• Coordinate patient refunds related to Commercial patients and resolve insurance eligibility issues.
• Perform timely insurance benefit verifications to determine eligibility and cost-share amounts for new and existing patients.
• Understand payer contracts and billing requirements; regularly review terms to confirm billing accuracy.
• Create patient payment plans when appropriate and maintain professionalism in all communications.
• Navigate practice software efficiently and perform other duties as directed by the Manager.
• Maintain HIPAA guidelines and a high level of discretion due to sensitive information.

Required Skills And Experience

• Associates degree or equivalent experience preferred
• AthenNet experience required
• 2+ years of experience in the medical billing field
• Strong medical coding, ICD-10, CPT knowledge preferred
• Familiarity with medical terminology and billing processes/principles
• Familiarity with medical policies and payer contracts preferred
• Integrity, tenacity, and ability to work with accounts
• Ability to identify, understand, and escalate potential issues
• Ability to collaborate with internal and external teams
• Problem-solving skills and the ability to set priorities
• Ability to work independently with minimal supervision
• Organized, self-motivated, with attention to detail and multitasking ability
• Exceptional written and verbal communication skills with internal and external customers

Benefits

• Mission-driven team focused on next-generation treatment of heavy alcohol use and addiction
• Professional growth within a rapidly expanding tech-healthcare company
• Upward professional mobility
• Direction, coaching, and mentorship from experienced leadership
• Remote work opportunity across the United States
• Competitive compensation
• Telehealth training and development
• Unlimited PTO for full-time team members

Pay Range

$21.00 - $23.00 hourly

Equal Employment Opportunity

Ria Health provides equal employment opportunities to all employees and applicants for employment. It prohibits discrimination and harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Ria Health Vision

A world with accessible, compassionate, and effective treatments to reduce the burden of all those who suffer from Alcohol Use Disorder.

Ria Health Mission

We combine medical science, technology, and human compassion to deliver private, evidence-based, telehealth alcohol treatment programs for anyone who wants to drink less and live better.

Ria Health Values

• Compassion – we promote a culture of empathetic care and communication. We actively listen, we always encourage, and we provide support.
• Integrity – We are honest, open, ethical, and fair. We hold ourselves accountable when we make mistakes.
• Teamwork – working together, we will achieve great things.
• Embrace Change – we drive improvement, measure progress, and strive for enhancement.
• Always Learning – We celebrate curiosity and discovery through development and research.