Financial Counselor/Biller

US-FL-Zephyrhills
# Positions
1
Category
Office and Administrative Support
Department
0651 RHEUMATOLOGY ZH
Job Status
Regular Full-Time
38051 Market Square

Job Description

Financial Counselor / Biller

Department:               Rheumatology

Job Summary:           Responsible for verifying and collecting patient due balances, posting charges, and reviewing journals for infusion visits.

Reports to:                 Office Manager

Position Level:           5

 

 

Essential Functions of the Position:

  • Financial Counseling
    • Verifies eligibility and benefits for all patients in Infusion Lab
    • Calculates patient financial responsibility for treatments
    • Meets with patient to review benefits and explain patient’s financial responsibility
    • Coordinates payment plans if approved by Patient Collections Manager
    • Reviews Infusion schedules prior to date of service and indicates in the appointment comment field amount for Check In Clerk to collect for each visit
    • Serves as point of contact for all Infusion patients regarding insurance eligibility and benefits issues
    • Requests referrals and obtains authorizations from insurance companies for all Infusion lab appointments
    • Enters referral authorization information into Practice Management System
    • Prepares patient education packets for new chemo patients
    • Schedules patients for education meeting
  • Patient Assistance Programs
    • Maintains current files and information on all patient assistance programs by scanning to chart and copying to collector
    • Reviews available programs with patients 
    • Assists patients with completing documents and forms needed by assistance programs
    • Responsible to follow up on status of assistance programs and tracking coverage available on programs
    • Handles calls from pharmacy companies and foundations
    • Meets with Pharmacy reps regarding patient assistance programs
  • Assists traffic on phones
    • Makes appointments
    • Takes messages
    • Assists with medication refill requests
    • Handles patient requests or needs
    • Assists vendors
    • Direct calls to the proper individual
  • Posts charges and reviews journals
    • Posts chemotherapy and hospital charges
    • Makes corrections to journals as needed
    • Ensures ailment, insurance plan, provider, finance, department, date, diagnosis, and CPT are correct for each charge
    • Reviews note if charge is in question. If unable to resolve, contacts office staff to clarify issue.
    • Ensures correct NDC identifications are noted and attached to appropriate CPTs
    • Reviews billing with providers when applicable
    • Addresses all tasks in a timely manner
    • Works hold report on a bi-weekly basis and releases claims when appropriate. Follows up if no response.
    • Works closely with Physician Support Services when requests are made to place provider charges on hold for audit / review, as well as, release claims once reviewed.

 

 

Additional Responsibilities:

  • Maintains an organized and clean work area
  • Serves as back up to front and back office
  • Performs other incidental and related duties as required and assigned

 

Physical and Mental Demands:

  • Normal physical ability; able to sit for long periods
  • Normal concentration and normal complexity of decision making
  • High level verbal and written communication skills
  • Above average ability to manage multiple tasks simultaneously

 

Occupational Exposure:

  • Low risk exposure to bloodborne pathogens and chemical hazards

 

Job Qualifications:

  • High school graduate or GED equivalent
  • Strong customer service orientation
  • Excellent telephone etiquette
  • Strong team player
  • Basic computer proficiency
  • Experience in obtaining prior authorizations for infusions
  • Experience in a Rheumatology medical office is preferred

 

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed

Connect With Us!