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Financial Counseling Specialist
University of Arkansas SystemFinancial Counseling Specialist at UAMS assisting patients with financial clearance for healthcare services. Contacts payers, relays hospital payment information, and secures authorizations prior to care.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in financial evaluation and counseling for Advanced Heart Failure procedures, including insurance verification and pre-authorization processes. Proficient in developing and maintaining patient financial profiles while effectively communicating with multidisciplinary teams and patients.
Highest-signal resume keywords
Healthcare Revenue Cycle ExperienceInsurance Verification and Pre-AuthorizationPatient Financial CounselingCommunication and Interpersonal SkillsFinancial Documentation and Reporting
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Financial EvaluationInsurance Benefits VerificationPre-Authorization ProcessesPatient Financial ScreeningClinical DocumentationFinancial Profile DevelopmentRevenue Cycle ManagementData EntryPatient Follow-UpFinancial Analysis
Soft Skills
Organizational SkillsPrioritization SkillsCommunication SkillsInterpersonal SkillsTeam Collaboration
Tools & Technologies
Business Office SoftwareWord Processing SoftwareFinancial Counseling ToolsPatient Management SystemsInsurance Management Systems
Industry Keywords
Advanced Heart FailureVentricular Assist DevicePatient and Family Centered CareHealthcare OrganizationsRevenue Cycle Related Function
About the role
Key responsibilities & impact- Evaluate financial coverage for patients being considered for Complex Advanced Heart Failure procedures, including therapies such as Infusions, Pulmonary Artery Sensors, Medication Therapies, and Ventricular Assist Device (VAD)
- Verify insurance benefits, including pharmacy, and obtain pre-authorization for services from third party payers
- Educate patients/family members, and/or caregivers in a clinic setting and/or an inpatient setting on the financial requirements of AHF and/or VAD implantation
- Perform thorough financial screening of eligible patients using tools developed by the Advanced Heart Failure Financial Counseling Specialist
- Research, verify, and document patient insurance coverage and patient financial information
- Meet with potential AHF therapy candidates, their families, and/or caregivers in an outpatient or inpatient setting to review the financial aspects of implantation
- Ensure authorizations and referrals required are obtained prior to services rendered
- Serve as a resource for patients, family members and/or caregivers on financial matters and assist them with questions concerning insurance and other financial issues before and after implantation
- Work with patients and other Advanced Heart Failure team members to address financial gaps and identify alternative funding options
- Act as a contact for payers nurse case managers, UAMS contracts management, UAMS Hospital Billing Services and Professional Billing Services as requested
- Collect and submit necessary clinical documentation and correspondence to requesting parties in a timely manner
- Provide clinical updates to insurance nurse case managers as requested
- Acquire prior authorization for diagnostic testing/labs/physician visits for both pre and post VAD implantation patients as needed
- Perform and communicate related patient follow-up with team members
- Identify, effectively communicate and accurately document patient financial information to the Multidisciplinary Advanced Heart Failure Team
- Develop written patient financial profiles and present at the weekly Advanced Heart Failure Team Conference
- Keep financial profiles updated and accurate on all active patients
- Keep the Advanced Heart Failure team apprised of any issues related to payer authorizations and reimbursements
- Review and identify and manage all UAMS AHF patient charges to address all AHF patient account issues
- Demonstrate positive working relationships with co-workers, management team, and ancillary departments; follow the Core Concepts of Patient and Family Centered Care and the Basic Code of Conduct Guidelines
Requirements
What you’ll need- High School Diploma/GED PLUS six (6) years of experience in healthcare in a revenue cycle related function OR Bachelor’s degree in finance, business or related PLUS two (2) years of experience in healthcare revenue cycle or revenue cycle related function
- Excellent computer, word processing, and business office skills.
- Excellent language, communication and telephone skills.
- Ability to organize and prioritize duties.
- Experience in healthcare organizations highly preferred.
Benefits
Comp & perks- Health: Medical, Dental and Vision plans available for qualifying staff and family
- Holiday, Vacation and Sick Leave
- Education discount for staff and dependents (undergraduate only)
- Retirement: Up to 10% matched contribution from UAMS
- Basic Life Insurance up to $50,000
- Career Training and Educational Opportunities
- Merchant Discounts
- Concierge prescription delivery on the main campus when using UAMS pharmacy