Patient Financial Counselor SupervisorScope:Responsible for the supervision of the Patient Financial Counselor department; Responsibilities include the supervision and coordination of insurance verification and eligibility duties to include the assessment of patient financial requirements, counseling patients on insurance benefits and copayments. Oversees pre-authorization of services and obtains and maintains accurate patient demographics.Essential Duties and Responsibilities:
Responsibilities include interviewing, hiring and training employees, planning, assigning and directing work, appraising performance, rewarding and disciplining employees, addressing complaints and resolving problems.
Oversees and ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner.
Oversees the process of the insurance verification process on all third-party payors. Obtains initial and subsequent pre-authorization of services.
Oversees process of reverification of benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensures appropriate signatures are obtained on all necessary forms.
Utilizes the Summary of Patient Reimbursement and Liability form and obtains appropriate approvals as required.
Oversees the financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements.
Documents financial counseling process and forwards to Billing Office
Assists patients in obtaining financial assistance (i.e. Medicaid, drug replacement), outside assistance (i.e. transportation or other community services), and all appropriate forms filled out.
Ensures collection of co-pays, deductible and other out of pocket amounts are complete at time of visit.
Assists in maintaining manuals, logs, and other required documents as required.
Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
Complete annual performance reviews for direct reports.
Follows policies and procedures to contribute to the efficiency of the front office. Covers for and assists with other front office functions as requested.
May be required to perform the tasks of the PFC and PFA teams when needed.
All other duties as assigned.
Additional Skills and Abilities:
Ability to read, understand, and follow oral and written instructions.
Ability to sort and files materials correctly by alphabetic and numeric systems.
General knowledge of medical terminology.
Education and/or Experience:
College Degree or Equivalent experience required. Three (3) years of medical office experience with insurance procedures and patient interaction preferred.
