The Financial Counselor will ensure that all processes related to insurance eligibility and verification are performed to be able to have an individual patient financial meeting to discuss any patient financial responsibilities. This meeting will be held with all patients during the initial weeks of treatment and will result in the collection of patient due amounts in full or the establishment of a patient payment plan, in accordance with company policy.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Meet with patients to explain cost of treatment, insurance coverage, and patient financial responsibility.
Coordinate proper insurance verification information/documentation of patient's insurance, to be used to estimate the patient's financial responsibility.
Develop a standard estimate that includes CPT codes and standard units based on a normal course of treatment for the particular diagnosis, including allowable costs based on MD treatment plan, and script
Responsible for monitoring and collecting the financial balances owed by our patients during their course of treatment.
The Financial Counselor must verify insurance benefits with patients and update company financial records accordingly.
Review the patient's services for diagnosis and appropriate insurance coverage.
Review all payment / financial options. (Financial hardships / Charity, Coordinating Medicaid applications, Special arrangement options, Payments plans, etc.).
Assist patients with questions regarding billing and insurance payments.
Develop a daily accounts receivable report that will be forwarded to the front office staff detailing the amount of money to collect from each patient.
Confirm demographic information; explain insurance benefits to patient, reviewing their financial responsibility, obtain necessary consent form signatures, including HIPAA policy.
Identify delinquent account balances in accordance with the patient's treatment plan or with ongoing account balances and make arrangements to meet with them prior to their visit to resolve balances due.
Assist in collection procedures training of front office personnel and work closely with MC's on patient accounting.
Two or more years experience in medical office setting.
Strong knowledge of medical terminology as well as ICD-9 and CPT codes.
Ability to travel.
Excellent oral and written communication skills.
Detail oriented with good organizational skills.
Work under limited supervision with ability to understand and meet department productivity standards.
Maintain a positive and respectful attitude.
Bilingual in Spanish preferred
EDUCATION AND/OR EXPERIENCE:
Experience with insurance requirements, medical terminology, ICD-9 and CPT coding.
High school graduate or equivalent.
Experience with working in a healthcare field, preferably in a clinical setting or corporate billing office.
Valid Driver's License is necessary.
JOB DESCRIPTION CLAUSE:
The statements herein are intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of the employer.
21St Century Oncology