Financial Counseling Representative
Shriners Children's
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Conduct thorough financial assistance screenings using the HEART application and other approved tools to determine eligibility for hospital charity programs and external financial resources.
- Assist insured patients experiencing financial hardship by evaluating eligibility for deductible, copay, and coinsurance support programs.
- Manage assigned financial assistance work queues efficiently, ensuring timely and accurate completion and follow-up.
- Investigate and resolve insurance discrepancies, coverage conflicts, and registration-related issues to prevent downstream denials and billing delays.
- Communicate clearly, empathetically, and professionally with patients and families regarding financial obligations and available support pathways while maintaining confidentiality.
- Collaborate with Benefits Assistance, Registration, Revenue Cycle teams, and external agencies to streamline financial clearance and enhance the overall patient financial experience.
- Monitor cases and documentation to ensure compliance with federal and state regulations, payer policies, hospital charity care standards, and HIPAA requirements.
- Identify trends in financial hardship and escalate complex cases or operational barriers to leadership for timely resolution and process improvement.
- Maintain accurate documentation within the electronic health record and related systems to support reporting, audit readiness, and program transparency.
- Contribute to a culture of patient advocacy by proactively assisting families through stressful financial situations and promoting equitable access to care.
Requirements
- 3 years of experience in at least one of the following: healthcare financial counseling, insurance verification, patient access or customer service within a healthcare setting
- Epic EMR experience
- Bilingual English / Spanish
- High School Diploma/GED
- Associate's Degree in Business, Healthcare Administration or related field (preferred)
- Billing experience helpful (preferred)
Benefits
- Medical coverage on first day
- 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6%
- Paid time off
- Life insurance
- Short term and long-term disability
- Flexible Spending Account (FSA) plans
- Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected
- Tuition reimbursement
- Home & auto insurance
- Hospitalization insurance
- Critical illness insurance
- Pet insurance
- Coverage for qualified dependents in accordance with the plans
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
financial assistance screeningsinsurance verificationbillingdeductible support programscopay support programscoinsurance support programsdocumentation managementcase monitoringcompliance monitoringpatient advocacy
Soft Skills
communicationempathycollaborationproblem-solvingconfidentialitycustomer serviceorganizational skillsleadershipprocess improvementstress management
Certifications
High School DiplomaGEDAssociate's Degree in BusinessAssociate's Degree in Healthcare Administration