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The Patient Access Rep - Financial Counselor is responsible for assisting patients and their families in understanding and managing the financial aspects of their healthcare. This includes verifying insurance coverage, estimating out-of-pocket costs, arranging payment plans, and identifying financial assistance programs. The role ensures compliance with hospital policies and regulatory requirements while delivering compassionate and informed support to patients.
Job Responsibility:
Interview patients or their representatives to assess financial status and determine payment options
Verify insurance eligibility, benefits, and authorization requirements
Provide cost estimates and explain patient financial responsibility
Collect deposits, co-pays, and deductibles
establish and monitor payment plans
Assist patients in applying for financial assistance, charity care, or third-party funding
Ensure completion of financial documentation in accordance with hospital policies
Perform medical necessity screening and ensure compliance with system requirements
Collaborate with clinical departments and physician offices to obtain necessary documentation
Maintain accurate records and documentation in EHR and financial systems
Prepare daily deposits and reconcile financial transactions
Adhere to HIPAA and organizational confidentiality standards
Performs related duties as assigned
Requirements:
Three (3) years in a healthcare or medical office setting, including experience in insurance verification, financial counseling, or patient access
Knowledge of healthcare billing, insurance plans, and financial assistance programs
Strong interpersonal and communication skills
Ability to explain complex financial information in a clear and compassionate manner
Proficiency in EHR systems, payer portals, and Microsoft Office
Attention to detail and accuracy in documentation
Ability to manage multiple tasks in a fast-paced environment