Pre-Services Financial Counselor jobs in United States
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HonorHealth · 20 hours ago

Pre-Services Financial Counselor

HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The Pre-Services Financial Counselor role involves establishing accounts for scheduled patients, verifying insurance coverage, and performing financial counseling prior to services. This position is crucial for ensuring accurate patient information and compliance with insurance requirements.

Health Care

Responsibilities

Verifies patients’ insurance coverage, eligibility, and Point of Service financial obligation for all scheduled services, and documents the system in detail
Adheres to all third party payer requirements for both government and commercial payers
Determines insurance eligibility and coverage, obtains/confirms authorization to avoid non-compliance and penalties to the patient, health system and physician
Communicates current Medicare requirements, HIPAA compliance and reimbursement criteria
Collaborates with Case Management to ensure patient status is correct and documentation is provided to insurances as needed
Creates and/or updates hospital account
Obtains and enters into hospital information system required patient demographics and insurance information in a timely manner after procedure is scheduled
Documents all information according to departmental guidelines
Provides feedback to supervisor on changes/updates implemented by insurances as obtained
Contacts patients to verify demographic information and to perform financial counseling prior to time of service
Collects patient responsibility due, provides information on payment plans and financial assistance as necessary
Follows department and network policies concerning discounts, package rates and basic financial assistance

Qualification

Insurance verificationPatient demographics managementFinancial counselingHealthcare experienceCommunication skills

Required

High School Diploma or GED - Required
1 year in healthcare field including medical office insurance/front desk, hospital registration, hospital business office (billing or collections) - Required

Preferred

Associate's Degree in related healthcare field - Preferred
3 years in healthcare field including medical office insurance/front desk, hospital registration, hospital business office (billing or collections) - Preferred

Benefits

Diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives

Company

HonorHealth

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HonorHealth represent integrity & honesty and honor your right to personalized, easy-to-navigate healthcare.