Financial Coordinator

Insurance Counselor

This position provides guidance and information to patients on insurance and the implications of different insurance options to allow patients to make informed insurance decisions. This position helps patients understand their insurance. This position ensures that commercial patients insurance questions are addressed and resolved and assists under-insured and uninsured / pending coverage patients with eligibility and / or coverage options. The position provides accurate and timely patient, revenue, and treatment trend reporting to the Group insurance Manager and operations teams that it supports.

Essential Duties and Responsibilities :

• Insurance Counseling :
• Conduct patient insurance education while operating within established compliance parameters of the company
• Discuss situations and options if employment status changes or other situations change
• Act as a liaison between patients, Clinical teammates, and the billing office to resolve patient insurance issues and / or concerns
• Proactively build relationships with patients
• Proactively review patient lists to identify potential patient insurance issues
• Support patient collection activities as necessary by educating patients about balances due and encouraging them to work with the billing office to resolve
• Partner with Clinical teammates to maintain awareness of patient insurance questions
• Complete and follow up with paperwork when claims are disputed for non-payment
• Patient Interaction :
• Review insurance benefits with patients to help them understand patient responsibilities such as deductible, coinsurance, and copays
• Review any financing paperwork
• Ensure patient questions or issues are addressed effectively
• Provide information to patients to help them find and / or secure all options for insurance coverage
• Review paperwork with the patient including authorization forms
• Meet with patients receiving direct payments from insurance companies to ensure payments are forwarded to Arista Recovery
• Facilitate Conference Calls :
• Identify registration process improvement opportunities
• Brainstorm and help resolve incomplete or problematic registration challenges
• Manage and update tracking tools as appropriate
• Review trends with the AM and operational leadership
• Reporting :
• Provide monthly reporting and analysis on key metrics related to patient education and advocacy to senior management
• Compile monthly operations reviews on assigned patient portfolio
• Participate in scheduled SAMs calls to review patient portfolio with designated facility teammate
• Other duties and responsibilities as assigned include but are not limited to :
• Attend team meetings, phone conferences, and training as needed
• Know, understand, and follow teammate guidelines, employment policies, and department or company procedures
• Participate as requested in special projects and Insurance Management Team initiatives
• Mentor team members as appropriate on Insurance Management practices
• Shadow new hires to mentor and provide training as needed
• Telephonic Communication 100%

Minimum Qualifications :