Patient Financial Counselor
CCRM Fertility
full-time
Posted on:
Location Type: Office
Location: Lone Tree • Colorado • 🇺🇸 United States
Visit company websiteSalary
💰 $22 - $30 per hour
Job Level
Junior
About the role
- The Patient Financial Counselor plays a vital role in managing the financial aspects of patient care and services.
- Their impact extends across various areas, contributing to the overall efficiency, patient satisfaction, and financial health of CCRM Fertility.
- Their efforts contribute to an efficient revenue cycle, increased patient satisfaction, and improved financial outcomes, ultimately enhancing the overall patient experience.
- The Patient Financial Representative coordinates the financial aspects of a patient’s while fostering a positive and memorable patient experience.
- This role educates patients on financial services and the steps/timeline to receive payment from the patient(s) insurance and must be accessible to patients to serve as a resource for all financial matters regarding their care.
- The Patient Financial Representative reports to the Patient Engagement Manager.
- Insurance verifications for all patients prior to the New Patient appointment and treatment cycle.
- Verify insurance benefits have been entered in the practice management system and track any insurance changes that occur during their course of care.
- Collect payments from patients prior to the scheduled service.
- Ensure valid insurance information is available in the patient’s chart.
- Serve as the patient’s primary point of contact for financial matters and ensure the patient knows the Patient Financial Services guidelines and policies during the course of care.
- Address insurance coverage discrepancies (following verification) with the patient and serve as an advocate for patients experiencing difficulty with the insurance process.
- Identify and perform pre-certification(s) required by the patient’s insurance for general medical service, infertility diagnostic service, infertility treatment service, obstetrical care service, etc.
- Determine and communicate patient financial responsibility based on pre-certification, prior to any procedures and obtain written pre-authorization documentation.
- Identify patients eligible to proceed with ART care, provide ART Financial Consult, and obtain payments prior to care, in accordance with Care Center guidelines.
- Serve as a resource to Care Teams regarding insurance coverage limitations on a patient’s care plan.
- Other duties assigned.
Requirements
- High School Diploma or GED required.
- 1+ year medical billing experience preferred.
- Previous experience in reproductive medicine or Women’s health preferred.
- Prior experience with Athena preferred.
- Ability to work weekends, evenings, and holidays, on a rotating basis.
Benefits
- Generous Paid time-off (PTO) and paid holidays
- Medical, Dental, and Vision Insurance
- Health benefits eligible the first day of the month following your start date.
- 401(k) Plan with Company Match (first of the month following 2 months of service)
- Basic & Supplement Life Insurance
- Employee Assistance Program (EAP)
- Short-Term Disability
- Flexible spending including Dependent Care and Commuter benefits.
- Health Savings Account
- CCRM Paid Family Medical Leave (eligible after 1 year)
- Supplemental Options (Critical Illness, Hospital Indemnity, Accident)
- Professional Development, Job Training, and Cross Training Opportunities
- Bonus Potential
- Potential for Over-time Pay (Time and a half)
- Holiday Differential Pay (Time and a half)
- Weekend Shift Differential Pay ($4.00 per hour)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical billinginsurance verificationpre-certificationpayment collectionfinancial counselingpatient financial servicesfinancial responsibility determinationinsurance coverage discrepancy resolutionART financial consultation
Soft skills
patient advocacycommunicationcustomer serviceproblem-solvingorganizational skills
Certifications
High School DiplomaGED