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Baptist Memorial Health Care · 1 hour ago

Counselor-Financial Counseling AR Region

Memphis, TN

Full-time

Onsite

Mid Level

3+ years exp

Baptist Memorial Health Care is a leading healthcare provider committed to compassionate care. The Financial Counselor is responsible for ensuring that patients understand their financial responsibilities for treatment and assists them in navigating insurance processes and financial assistance programs.

GovernmentHealth CareHospitalMedicalNon ProfitNursing and Residential CareRehabilitationWellness

Responsibilities

Obtain and review treatment/therapy plan orders for medical necessity and appropriateness according to insurance medical policy/FDA/NCCN guidelines and requirements

Research insurance company medical policies, medical literature, and compendiums to determine eligibility for services. Utilize multiple healthcare websites

Review patient medical records and identify necessary information for pre-certification for confirmation of medical necessity

Responsible for tracking, obtaining, and extending authorizations from various carriers in a timely manner

Meet with new patients to provide patient-specific education on their insurance benefits and estimated out-of-pocket expenses for their prescribed therapy prior to treatment initiation

Works with patients and caregivers to collect deductibles and co-pays and set up payment plans

Obtains necessary consent forms and financial documents from patients and providers to initiate applications for copay assistance and PAP drug programs

Assists self-pay patients with initiating applications for the Baptist Financial Assistance Program

Works closely with physicians and clinic staff to promote positive patient outcomes and timely treatment

Understands and complies with regulatory requirements by specific insurance companies and facilitates compliance by maintaining awareness of guidelines and ensuring compliance through communication and documentation to appropriate staff

Performs other duties as assigned

Qualification

Financial CounselingHealthcare ExperienceCHAA CertificationOncology Pre-CertificationMedical Policy UnderstandingBasic Computer SkillsMulti-tasking AbilityProblem-Solving SkillsCommunication Skills