Patient Financial Counselor jobs in United States
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Mile Bluff Medical Center ยท 1 day ago

Patient Financial Counselor

Mile Bluff Medical Center is a not-for-profit organization dedicated to providing state-of-the-art healthcare services in a patient-centered environment. The Patient Financial Counselor serves as the primary resource for patients needing financial guidance related to their medical care, assisting them with insurance coverage, out-of-pocket cost estimates, and financial assistance options.

Health CareHospitalMedical

Responsibilities

Meet with patients to review insurance coverage and financial obligations prior to or after services. Identify uninsured or underinsured patients and proactively offer support resources
Verify insurance eligibility and benefits through payer portals or clearinghouses
Estimate out-of-pocket costs based on treatment plans, deductibles, and copays
Educate patients on billing processes, payment options, and financial assistance programs
Assist patients in applying for Marketplace, Medicaid, charity care, or other assistance programs
Set up payment plans and secure deposits when required. Collect payments at point of service or through follow-up communication
Document all financial counseling interactions in the electronic health record or billing system
Identify uninsured or underinsured patients and proactively offer support resources
Handle sensitive financial conversations with empathy, confidentiality, and professionalism
Monitor account status and follow up on pending financial applications
Conduct pre-service financial clearance to ensure coverage is verified before scheduled procedures
Review prior authorization requirements and coordinate with clinical staff to ensure approvals are obtained
Explain Explanation of Benefits (EOBs) to patients who are confused by insurance adjustments or denials
Track and report financial counseling outcomes, such as collections, assistance approvals, or conversion rates
Coordinate with charity or foundation offices for grants or sponsorships related to patient care
Maintain knowledge of Affordable Care Act marketplace plans and assist with open enrollment navigation
Evaluate residency, income, and documentation to determine charity care or sliding-scale eligibility
Perform other duties as requested

Qualification

Billing/Collections experienceHealthcare portalsCertified Application CounselorElectronic medical records systemsComputer proficiencyExceptional customer serviceInterpersonal communicationProblem-solving skillsAttention to detail

Required

High school diploma or equivalent required
Training in Marketplace and/or collections required. Certified Application Counselor (CAC) certification obtained within one year from hire date
3+ years of related work experience required
Exceptional accuracy and attention to detail required
Intermediate proficiency with computers is required
Experience with billing/collections required
Knowledge of electronic medical records systems, healthcare portals, and collections software
Must have exceptional customer service skills
Self-starter with excellent interpersonal communication and problem-solving skills

Preferred

Associate Degree or equivalent business experience preferred
Experience working in the medical industry preferred

Benefits

Competitive wages
Great benefits

Company

Mile Bluff Medical Center

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Mile Bluff Medical Center offers rehabilitation, surgeries, dialysis, orthopedics, respiratory, emergency and nursing home care services.

Funding

Current Stage
Late Stage

Leadership Team

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Dara Bartels
Chief Executive Officer
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SCOTT KNIPRATH
Chief Operating Officer & Vice President
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Company data provided by crunchbase