Access Services Financial Counselor Job at Baylor Scott & White Health (Pflugerville)

Job Description

The Financial Counselor performs financial clearance tasks like verifying insurance and providing price estimates. This role resolves disputed billing issues through patient interaction. It also serves as an expert in financial assistance policies and facility collections, and supports special projects.

Job Responsibility

Performs financial clearance tasks like verifying insurance and providing price estimates
Resolves disputed billing issues through patient interaction
Serves as an expert in financial assistance policies and facility collections, and supports special projects
Works closely with facility leadership to ensure all patients are financially cleared and screened
Conducts patient interviews to obtain demographic and financial data for registration, insurance verification, pre-certification and billing
Records accurate patient demographic information when reviewing previous accounts and accounts with future dates of service
Follows and acts on several complex system policies (financial assistance, limited plan, point of service, out of network, etc.)
Obtains and screens guarantor financial information for financial assistance and or refers patient to appropriate resource for public assistance programs
Provides estimates of procedures and services, calculates payment requirements, and negotiates pre-service payments according to financial clearance requirements
Establishes payment arrangements for future and previous services
Reviews future schedule to ensure pre-authorization and pre-payments have been collected
Assists with contacting the physician's office and patient to ensure pre-authorization and referral requirements are met before the service date
Reviews and interprets explanation of benefits from payers to help patients and guarantors understand claims processing or denial of services

Requirements

H.S. Diploma/GED Equivalent
3 Years of Experience
3 years of healthcare experience or education equivalency required
Proven ability to problem-solve, perform critical thinking
Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette
Maintain a professional demeanor in stressful and emotional environments including crime, behavioral health, suffering patients, and life-or-death situations
Must exhibit high empathy and communicate effectively with patients and families during traumatic events, while showing exceptional customer service skills
Demonstrates ability to manage multiple, changing priorities in an effective and organized manner
Excellent data entry, numeric, typing and computer navigational skills
Basic computer skills and Microsoft Office and Excel

What we offer

Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
Tuition Reimbursement
PTO accrual beginning Day 1

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Access Services Financial Counselor

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