Financial Counselor
Financial Counselor
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Details
Description
The financial counselor/prior authorization are a key member of the revenue cycle team. The financial counselor/prior authorization position will be responsible for obtaining prior authorization creating the estimate of services and having financial conversations with patients and/or guardians. These tasks are completed by assisting the patient parent/guardian or providers office with a friendly courteous manner and high level of professionalism. Counselors ensure the accuracy and integrity of patient information and authorization for procedures or tests while maintaining a high level of confidentiality.
Duties may include but are not limited to:
Able to work independently and as a member of a team.
Understand and follow safe work practices.
Ensure that all Amberwell procedures are followed in accordance with established policies.
Demonstrates a knowledge of cultural diversity the ability to provide care and service and exhibit the communication skills necessary to interact effectively with the patient/family/customer.
Proactively serves as a patient advocate by always utilizing courteous and professional etiquette by answering the telephone promptly reflecting a positive tone and speaking distinctly with poise tact and assurance.
Coordinate with physicians nurses staff patients and other medical departments while making sure prior authorization has been checked and/or received and orders are obtained. Validates the prior authorization CPT codes match the actual test that has been ordered troubleshooting any discrepancies prior to placing the authorization.
Responsible for ensuring the accuracy and integrity of patient information and test orders attaching orders while maintaining a high level of confidentiality.
Verify medical necessity on all applicable patients scheduled by obtaining the diagnoses related to the procedure(s). Assign diagnosis code(s) for each diagnosis utilizing a computerized encoding system. Enters code(s) into medical necessity software to obtain medical necessity approval.
Responsible for contacting the provider to validate diagnosis and/or obtain additional diagnoses if medical necessity is not met. Creates and processes Advanced Beneficiary Notices (ABNs) if applicable.
Verifies insurance including copays deductibles and coinsurance. Calling for insurance benefits when needed. Informs patients or departments of the financial responsibilities.
May be asked to become a Super User for the current computer system troubleshooting issues and performing table maintenance as needed.
Maintains confidentiality and protects sensitive data at all times.
Demonstrates exceptional customer service and interacts effectively with physicians patients visitors staff and the broader community.
May be asked to perform other duties within the PFS department.
Qualifications
Experience:
Minimum Required Experience: Experience in health care office setting and/or customer service.
Preferred Experience: 2 Years
Education:
Minimum Required Education: Certified Medical Assistant or similar degree with experience
Certifications:
Preferred Certifications: Certified Medical Assistant
Employment Type
Full-Time
