Financial Counseling Representative
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What you'll do
- Contact/check insurance carriers and websites for non-automated eligibility and act as an advocate for the patient.
- When limited benefit plans are identified, counsel patients on their insurance benefits and recommend alternative sources of payment and financial assistance when appropriate.
- Explain financial responsibilities for services received, payment options, and point of service collections on procedures to patients or parties responsible for payment.
- Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency.
- Provide patients and their families support with gathering necessary documents for Medicaid or assistance programs.
- Exceptional subject matter expertise of all funding source options.
- Serve as liaison between 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, non-urgent admissions, procedures and scheduled diagnostic testing which have not been approved prior to the date of service.
- Proven ability to consistently meet productivity goals and drive high-quality work output.
- Assists leadership with analysis of screening & solution defect reviews and denials analysis.
- Takes strong accountability for team’s screening, solution, and conversion metric performance.
- Provides hands-on training, mentoring, and aiding to other team members as needed.
What they're looking for
- High School - Equivalent experience will be considered
- Minimum of 4 years of experience
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Essential Responsibilities
Contact/check insurance carriers and websites for non-automated eligibility and act as an advocate for the patient.
•When limited benefit plans are identified, counsel patients on their insurance benefits and recommend alternative sources of payment and financial assistance when appropriate.
•Explain financial responsibilities for services received, payment options, and point of service collections on procedures to patients or parties responsible for payment.
•Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency.
•Provide patients and their families support with gathering necessary documents for Medicaid or assistance programs.
•Exceptional subject matter expertise of all funding source options.
Inter-Department Collaboration:
•Serve as liaison between 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, non-urgent admissions, procedures and scheduled diagnostic testing which have not been approved prior to the date of service.
Metric-Driven Performance:
•Proven ability to consistently meet productivity goals and drive high-quality work output.
•Assists leadership with analysis of screening & solution defect reviews and denials analysis.
•Takes strong accountability for team’s screening, solution, and conversion metric performance.
•Provides hands-on training, mentoring, and aiding to other team members as needed.
Strong Customer Service:
• Provide excellent customer service by going above and beyond to create a great experience for patients.
• When complex enrollment issues occur, associate drives resolution and supports other team members with resolution.
• Leverage excellent customer service to assist with resolving patient escalations related to billing or other concerns, leveraging CSU or other appropriate channels of resolution as needed.
• Perform all other duties and projects as assigned.
Education Level
High School - Equivalent experience will be considered
Experience Level
Minimum of 4 years of experience
Licenses and Certifications
Not Specified
Skills
Not Specified
Physical Demands
•Sitting
•Standing
•Extended Computer Usage
•Walking
Work Environment
•Well-lit
•Remote
•Noise Level -Quite
•Climate Controlled
The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
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To learn more, visit: R1RCM.com
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