Ridgeview ยท 20 hours ago
Financial Counselor
Ridgeview is a healthcare organization seeking a Financial Counselor to enhance the financial experience for patients. The role involves assisting patients with understanding their insurance benefits, collecting payments, and helping them navigate financial assistance options.
FitnessHealth CareNon Profit
Responsibilities
Serve as the point of contact for all financial assistance related questions. Communicate with patients to identify and understand financial, social, and medical histories and other relevant patient information
Act as liaison between clinical departments, Patient Financial Services, and third parties to advocate for the patient and Ridgeview
Gather all relevant information required to process financial assistance requests
Assess the current financial situation of patients through the verification of patient insurance benefits; serving as the technical expert in confirming patients benefit coverage and hospital reimbursement: Determine the patient's financial ability to pay and explain insurance coverage and benefits to the patient
Initiate the financial screening process as appropriate to evaluate eligibility for assistance programs. Assist the patient in completing financial applicants and gathering supporting financial documentation
Determine eligibility for care at Ridgeview by assessing patient eligibility for Medical Assistance, Community Programs, and Government Programs: Assess and offer payment alternatives which may include prepayment for elective care and applying for Ridgeview's financial assistance program Identify eligible financial programming options and assist in completing all necessary documentation for specific federal, state, or Ridgeview financial assistance programs With provider involvement, determine urgency of scheduled care for patients with large financial liabilities resulting in either a decision to proceed or a decision to reschedule
Explain Ridgeview's payment policy to patients if a program is not available. Calculate and explain any patient liability before or at the time of service
Counsel patients on out-of-pocket liabilities. Collect deductibles, pre-payments and outstanding balances following established collection procedures; or alternatively, create a payment plan with the patient and document the agreement appropriately If unable to establish acceptable payment arrangements for elective procedures, inform the provider and patient that services will be rescheduled or cancelled
Communicate financial coverage status and applicable financial decisions with all appropriate parties: patient, family, referring providers, and Ridgeview providers
Qualification
Required
High school graduate or equivalent
Previous customer-focused healthcare experience
Proven customer service experience
Knowledge of medical terminology
Patient financial and/or cost estimation experience
Ability to effectively navigate a high-stress and fast-paced environment
Ability to meet and maintain the necessary background checks as aligned with position functions
Ability to communicate in the English language for effective written and verbal correspondence to complete listed job functions
Ability to multitask and maintain high attention to detail
Ability to perform basic math functions and count money
Ability to interact and service patients in a friendly and efficient manner
Knowledge of basic computer functions and Microsoft Office applications
Ability to work autonomously and as a team
Ability to respond appropriately to unpredictable and high stress situations and diverse patient populations
Capable of making independent decisions with the use of strong critical thinking and problem-solving skills
Ability to meet crucial timelines and productivity expectations
Preferred
Post-secondary education in healthcare
Bilingual
Experience with EPIC
Company
Ridgeview
Ridgeview is an independent, nonprofit, regional health care system serving the southwest metro region of the Twin Cities.