Patient Financial Counselor — Self-Pay Focus

Tennessee Orthopaedic Alliance; Nashville (TN); On-site; USD 36,000 - 54,000; Full time

Job summary

Tennessee Orthopaedic Alliance, the largest orthopaedic surgery group in Tennessee, seeks a Financial Counselor to support our revenue cycle by contacting self-pay patients, explaining balances, and setting up payment plans.

You will work with front desk teams across multiple clinics, review remittance advice, and help ensure accurate patient billing while delivering excellent customer service.

Qualifications

• Experience in revenue cycle or healthcare business office, specifically with self-pay or insurance collections.
• Exceptional focus on Customer Service.
• Strong, positive telephone communication skills.
• Ability to read and understand payer remittance advices.
• Ability to differentiate between allowed charges, contractual adjustments, line item denials / reasons, patient responsibility (co-pay, co-insurance, and deductibles), bundled payments, etc.
• Must be able to meet average expectations for productivity and quality standards.
• Must possess detail orientation, and the ability to recognize patient address changes, typing errors, medical coding mistakes, or other revenue cycle errors.
• Ability to organize and prioritize day-to-day tasks to keep work assignments current.
• Strong mathematical skills to accurately apply discounts and to ensure correct patient balances.
• Proficient in MS-Excel for analyzing data using basic formulas, pivot tables, and charts.

Responsibilities

• Work the daily appointments - Open balances and print statements for front desk to collect at check-in.
• Meet face to face with patients regarding balances on their account.
• Explain patient benefits (Deductibles, Co-pays, & Co-insurance amounts).
• Set up payment plans.
• Submit adjustment requests.
• Request patient refunds.
• Assist front desk with check-out.
• Pre-service collections ( Surgery deposit, ESI, & High Dollar Drugs).
• Schedule patients for appointments or follow-ups.
• Work the self-pay report(aging report & work log).
• Follow-up on insurance denials.
• Collect patient payments.
• Any additional task assigned by Site Manager or Front Desk Supervisor

Tools

MS Excel

Job description

Tennessee Orthopaedic Alliance, the largest orthopaedic surgery group in Tennessee, seeks a Financial Counselor to support our revenue cycle by contacting self-pay patients, explaining balances, and setting up payment plans.

You will work with front desk teams across multiple clinics, review remittance advice, and help ensure accurate patient billing while delivering excellent customer service.