What are the responsibilities and job description for the Financial Counselor position at San Antonio Behavioral Health?
The Financial Counselor is responsible for performing financial clearance functions, including but not limited to, verifying insurance eligibility and benefits, ensuring authorizations and providing price estimates. This position facilitates resolution in disputed billing issues which require intense interaction with patients. This position also serves as subject matter expert in financial assistance policies, facility point of service collections and provides support on special projects.
Essential Duties:
· Works closely with facility leadership to ensure all patients are financially cleared and screened.
· Conducts patient interviews to obtain demographic and financial data for registration, insurance verification, pre-certification and billing.
· Records accurate patient demographic information when reviewing previous accounts and accounts with future dates of service.
· Follows and acts on several complex system policies (financial assistance, limited plan, point of service, out of network, etc.)
· Obtains and screens guarantor financial information for financial assistance and or refers patient to appropriate resource for public assistance programs.
· Provides estimates of procedures and services, calculates payment requirements, and negotiates pre-service payments according to financial clearance requirements.
· Establishes payment arrangements for future and previous services.
· Reviews future schedule to ensure pre-authorization and pre-payments have been collected.
· Assists with contacting physician office and patient in order to ensure pre-authorization and referral requirements are met prior to the date of service.
· Reviews and interprets explanation of benefits received from payers in order to assist patients and guarantors with understanding of claims processing or denial of services by payer.
· Upholds the Organization's ethics and customer service standards
This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the hospital. Duties may be modified or changed with or without notice.
