Financial Counseling Representative I

Financial Counselor

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

The Financial Counselor will be responsible for counseling patients or parties responsible for payment. The Patient Financial Counselor will educate patients on their responsibilities and potential options. The PFC is responsible for accurately and compassionately explaining to the patient their financial obligations during the financial counseling session. In addition, the counselor must obtain any necessary pre-certifications or authorizations and assist with any financing or third-party applications.

In this role, the successful candidate must display a strong sense of patient care and attention to detail.

Here's what you will experience working as a Financial Counselor :

• Explain financial responsibilities for services received payment options and collection procedures to patients or parties responsible for payment.
• Counsel patients regarding insurance benefits and recommend alternative sources of payment and financial assistance when appropriate.
• Contact insurance carriers or other sources and act as an advocate for the patient.
• Initiate process for collecting prepays due and perform follow up activity to insure maximum collection is achieved.
• Identify hospital, public and private financial assistance programs for patients unable to meet their financial obligations.
• Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in completing assistance program applications and determine eligibility and coverage.
• Notify manager, physician and servicing department of possible delay of service for any elective, urgent admissions, procedures and scheduled diagnostic testing which have not been approved prior to the date of service.
• Maintain accurate documentation of pre-processing information.
• Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency.
• Perform all other duties and projects as assigned.

Required Skills :

For this US-based position, the base pay range is $17.25 - $24.73 per hour. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.