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Financial Counselor

Job Category

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Office and Clerical

Requisition Number

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FINAN008146

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Posting Details

• Full-Time

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Job Details

Description

ABOUT AUSTIN REGIONAL CLINIC:

Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health and Fitness, Sick Child Care Assistance, Development and more. For additional information visithttps://www.austinregionalclinic.com/careers/{target="_blank" rel="noopener"}

PURPOSE

Prepares estimates for medical services prior to treatment, educates patients and collects payment when appropriate. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.

ESSENTIAL FUNCTIONS

Financial Counselor

• Utilizes Medical Present Values Patient Responsibility Pricer application to prepare estimates for medical services. Obtains appropriate eligibility and benefits information, and together with the contractual allowable data creates estimates.
• Contacts patients to provide a verbal estimate and attempts pre-collection of the patient responsible amount. Advises patient that the estimate may not reflect all charges as they vary based on services provided. Educates patients on their financial responsibilities.
• Mails a formal copy of the estimate and a letter to the patient. Documents details in account notes.
• If patient is present for estimate creation, obtains Patients signature on estimate and attempts to collect patient responsible mount.
• Maintains file copies of estimates.
• Returns telephone calls within timeframes established by department.
• Interacts with providers office and the billing office staff.

Customer Service

• Receives inbound telephone calls from internal and external customers. ie. Patients, Insurance Representatives.
• Asks appropriate verification questions prior to releasing confidential patient information in accordance to company policy/HIPAA guidelines.
• Reviews explanation of benefits documents with knowledge and ability to explain information to patients/customers.
• Provides financial counseling service/payment arrangements to walk-in patients with outstanding account balances.
• All actions are documented with clear and accurate documentation in the Account Notes.
• Receives patient refund request information and forwards to Refunds processing..

Account Transactions/Insurance

Reviews account transactions for accuracy.

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