Financial Counselor

Who are we?

American Pain Consortium’s Center for Pain clinic is one of the oldest free standing non-hospital affiliated pain centers in the Midwest (originally established in 1993). Our Indiana clinic footprint includes Evansville, Indianapolis, Greenwood, Avon, and Lafayette while our Ohio footprint includes Columbus, Dublin, and Springfield. We also have five Ambulatory Surgery Center locations. Our caregivers build strong teams that deliver exceptional interventional pain management care.

As an employer, our mission is to empower every member of our team to realize their maximum professional potential and create an environment conducive to our shared success. Our “why” centers around our 7 inspirations: the pursuit of excellence, empathy in everything we do, a culture of collaboration, open communication, creating a space for belonging, and ongoing innovation, which yields the result of bringing value.

What do we do?

Our clinical multidisciplinary approach to care delivers the correct intervention to each and every patient, each and every time through various pain management procedures including injections, open surgical cases with general anesthesia, physical therapy, and psychological services. Our Providers focus on helping individuals improve functionality to restore a more meaningful lifestyle.

Behind the scenes are APC’s support departments which include areas like Operations Support, Pre-Service, Billing, Human Resources, Marketing, and Accounting. APC values individuals with a strong work-ethic, embracing why they want to serve in the healthcare industry while maintaining a work, family, and life balance. APC is seeking an individual who is eager to learn, develop, and grow in a role in the Pre-Service Department located in the Support Office in Carmel, IN.

Job Summary

The Financial Counselor is responsible for assisting our patients, providers, and various internal and external stakeholders with accurate and timely information as it pertains to pricing and patient responsibility. The Financial Counseling Liaison also partners closely with vendors as it relates to patient balances and vendor collection processes.

Essential Duties & Responsibilities (What You’ll Do)

· Collects payments, sets up payment arrangements, creates estimates, advises patients on their insurance benefits and coverage, and assesses patient referrals for appropriateness.

· Researches and remediates any identified issues with quality assurance, makes recommendations to support prevention of future issues, and reports any concerns identified with processes to appropriate leadership.

· Verifies and ensures all accounts are ready for billing with adequate supporting documentation, within the established time frames.

· Serves as support to patients and their family members to ensure they have access to all available funding, this involves working with private as well as governmental agencies.

· Proactively reviews and recommends amendment to self-pay pricing methodology

· Initiates continuous process improvement activities to meet ongoing organizational goals and improve processes in relation to patient collections.

· Answers phone lines as applicable, triages effectively, and dispatches to the appropriate areas.

· Ensure day-to-day practices consistently align with company policies and procedures on management of collections, including external vendors

· Stays current with relevant changes in regulations issued by governmental bodies, CMS, AMA, and payer guidelines and adjusts internal process to timely and compliantly meet expectations

· Audits, researches, prevents, and remediates any identified deficiencies while reporting applicable findings to immediate supervisor or compliance as necessary

· Maintains effective working relationships regarding the collection of patient liabilities with Site Managers, Business Office, Patient Registration, Medical Records, various third-party agencies, HMO/PPOs, patients, their families, physicians, offices, and other outside entities that align with organizational goals and processes.

· Develops and maintains Point of Service Collection (POSC), patient responsibility collections, bad debt, financial assistance workflows and policies.

· Determines patient ability to pay and secure repayment arrangement with patient, according to company policies.

· Ensures proper financial classification, determines proper guarantor, and update system accordingly.

· Serves as a resource to other staff members especially in the areas of insurance benefits, estimate creation, patient responsibility, and package rates.

· All other duties as assigned

Minimum Qualifications(What We Are Looking For)

· Excellent verbal and written communication skills.

· Excellent interpersonal and customer service skills.

· Excellent organizational skills and attention to detail.

· Excellent time management skills with a proven ability to meet deadlines.

· Strong analytical and problem-solving skills.

· Ability to prioritize tasks and to delegate them when appropriate.

· Ability to function well in a high-paced and at times stressful environment.

· Proficient with Microsoft Office Suite or related software.

· Strong knowledge, skills and demonstrated completion of coursework/projects in quality improvement and project/data management.

· Knowledge of medical and insurance terminology.

Education and/or Experience Requirements

· High school diploma

· Minimum 24 months administrative experience in a medical facility, health insurance, or related area preferred

· Experience in credit, collection and billing is required.

· Two years of experience and working knowledge of all patients accounting functions, including pre-admissions and admission registration

· Knowledge of function and relations within a healthcare clinic environment required

· Knowledge of medical and insurance terminology is required

Competencies

To perform the job successfully, an individual should demonstrate the following, which is included, but not limited, to:

· Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.

· Customer Service - Responds promptly to customer needs; Responds to requests for service and assistance; Meets commitments.

· Respect for Others - Treats patients, physicians, and colleagues in a professional, respectful, compassionate manner.

· Respect for Privacy - Handles all patient, company, and staff information in a confidential manner compliant with all state and federal regulations and the APC Code of Conduct.

Physical Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Standing and/or walking 10% of time
• Sitting 90% of the time
• Occasional lifting, stooping, kneeling, crouching, and reaching

Supervisory Responsibilities

This position has no supervisory responsibilities

Benefits (Work Perks)

Included for all full-time positions

· Medical, Dental, and Vision Insurance

· Paid Time Off

· Paid Holidays

· Matching 401K plan

· Other

Equal Employment Opportunity

American Pain Consortium Management, its affiliates, and subsidiaries are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, protected veteran status, national origin, sexual orientation, gender identity or expression (including transgender status), genetic information or any other characteristic protected by applicable law.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Application Question(s):

• What are your salary expectations?

Education:

• High school or equivalent (Required)

Experience:

• Administrative: 2 years (Preferred)
• Medical billing: 1 year (Required)
• pre-admission registration: 2 years (Preferred)

Ability to Commute:

• Carmel, IN 46032 (Required)

Work Location: In person