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Carilion Clinic · 13 hours ago

FINANCIAL COUNSELOR (Patient Benefits)

Roanoke, Virginia

Full-time

Onsite

Entry, Mid Level

2+ years exp

Carilion Clinic is a healthcare organization seeking a Financial Counselor to enhance service excellence and provide financial assistance to patients. The role involves counseling patients on financial options, verifying insurance benefits, and ensuring compliance with financial assistance programs.

Child CareEducationHealth CareMedicalWellness

Responsibilities

Promotes Carilion's culture of service excellence and quality by implementing and accepting accountability of the service standards: provides excellent service to patients/customers; builds strong relationships and team cohesiveness; focuses on quality and positive solutions; communicates respectfully; demonstrates compassion and understanding in response to patient and customer requests/needs

Responsible for the financial stewardship of the assigned department

Assumes ownership as first-level support for the assigned team to answer a wide variety of customer questions, initiate resolution of escalated customer concerns related to the entire spectrum of the revenue cycle and implement appropriate actions to obtain accurate reimbursement

Counsels and assists the patient in making application for appropriate type of financial assistance

Works with patients through collaboration with other departments, by phone or in person maintaining a professional and courteous manner at all times displaying empathy and adhering to Carilion Clinic policies

Reviews appointment schedules in advance of appointments to identify patients potentially in need of financial assistance or counsel

Patient contact may be initiated through this position, through the Patient Access or other contact center

Works closely with others to coordinate the best financial care for patients according to Carilion Clinic policies and standards

Contacts patients to meet face to face or by telephone before, after or during patient visits to council and advise

Completes verifications of insurance benefits, assures required authorizations are obtained or coordinates verification of eligibility for other programs based on established screening criteria

Researches and collects at point of service on bad debt accounts when/where appropriate

Collects patient-contracted out-of-pocket responsibilities and deposits from patients at the point of service

Provides excellent patient relations by giving timely and responsive assistance to the patient on resolution of problems, correction, or completion of insurance billing inquiries, and the combining of unpaid accounts

Uses a variety of technology and tools to complete and review assistance applications to assess patients eligibility for available financial assistance programs

Completes frequent face to face patient interactions in often challenging clinical environments to gather information and effectively counsel patients on various types of available financial assistance

Audits and corrects data entry discrepancies and reports deficiencies to assure compliance to standard data entry guidelines

Qualification

Medical TerminologyICDCPTHCPCS CodesCustomer ServiceComputer LiteracyNegotiation SkillsProblem SolvingMulti-taskingInterpersonal SkillsCommunication Skills