Mile Bluff Medical Center · 2 weeks ago
Patient Financial Counselor
Mauston, WI
Full-time
Onsite
Mid Level
3+ years expMile Bluff Medical Center is a patient-centered healthcare organization serving a diverse community. They are seeking a Patient Financial Counselor to assist patients with financial guidance related to their medical care, including insurance coverage and financial assistance options while ensuring compliance with regulatory standards.
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
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
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
The opportunity for growth
Company
Mile Bluff Medical Center
Mile Bluff Medical Center offers rehabilitation, surgeries, dialysis, orthopedics, respiratory, emergency and nursing home care services.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Dara Bartels
Chief Executive Officer
SCOTT KNIPRATH
Chief Operating Officer & Vice President
Recent News
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