What are the responsibilities and job description for the Financial Counselor position at Eye Care Partners Career Opportunities?

Job Description

EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com.

Job Title : Financial Counselor

SUMMARY :

The Financial Counselor is responsible for initiating and coordinating pre-certification and prior authorization for patients with their insurance carrier, to provide financial counseling to patients, and to work closely with the business office to ensure timely claim and account follow up.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

Monitors changes in insurance plans and policies. Inform management of such changes on an immediate basis
Provide financial counseling to patients regarding procedures, surgeries, patient past due balances
Collects and properly posts any pre-payments, deductibles, co-pays and balances due from patients within 24 hours
Properly informs management / physician of the patient's inability to pay for services rendered
Establishes outside financing or internal payment plans for patients as needed
Properly post all outside financing to include finance charges as required by management
Answers all incoming telephone calls from patients regarding billing / collection matters in a timely and efficient manner
Accurately post payments from the patient visit within 24 hours
Verify and document cash collected
Reconcile all cash, credit cards and balance postings to encounters and payments
Enters memos on patient ledger regarding information sent or received from insurance patients
Professional and Personal Development / Goals and Objectives
Exhibits professional demeanor with a positive enthusiastic attitude at all times when representing the practice
Maintains certification, where applicable, and continues to improve skills
Must attend all in-services and webinar training seminars as directed by the Accounts Receivable Manager
Sets goals and objectives for professional growth. Reviews and revises goals on an ongoing basis
Provides input on how to improve customer service, decrease costs and increase revenues for the practice
Customer Service
Supports the practice core values and mission statement to develop, enhance and promote quality customer service through team effort
Exhibits flexibility, sensitivity and respect while maintaining an effective working relationship with all team members
Maintains practice confidentiality, follows HIPAA / OSHA guidelines and follows the rules and regulations of the practice as documented in the practice employee manual
Assumes other duties as assigned

ESSENTIAL SKILLS AND ABILITIES

Coordinate with the patient, physician, insurance company, and hospital on the complete precertification process, including second opinions and tertiary referrals.

Make and answer telephone calls from patients and insurance companies regarding the precertification process.

Process additional information requests and coordinate with the insurance biller on requests for letters of medical necessity from and to insurance companies.

Receive and process insurance information and forms from patients and insurance companies.

Review provider schedules, checking patients' accounts for outstanding insurance claims over 60 days and communicating with the biller to request additional claim follow up.

Have knowledge of surgery package prices and clinic prices for self-pay and out of pocket expenses to utilize when speaking with patient

Establish payment arrangements with the patient and document appropriately in the practice management system

Discuss payment arrangements with patients for outstanding patient balances.

Work with pharmaceutical companies and other resources to obtain grants and financial aid for patients in need.

Work with Wells Fargo and Care Credit to provide financing arrangements with patients who qualify.

PERFORM OTHER DUTIES AS ASSIGNED

Must have proficient computer skills

Must have a complete hands-on working knowledge of NexTech software or related medical billing software

Must have an understanding of Medicare, Medicaid and Commercial Insurance

Must have a working knowledge of ICD-9 and CPT codes for ophthalmology

Must be able to problem solve

Must be detailed oriented

Must have excellent communication skills, proper grammar and writing capability

Must have a working knowledge of all forms associated with the patient medical record (paper and electronic)

Must be able to collect balances due from patients

Must be team-oriented

Must be self-directed, highly motivated, able to multi-task, work under pressure in a fast paced environment

Must be able to accurately and efficiently handle multiple projects at one time

Must have exceptional interpersonal skills

Must possess a caring, patient and friendly attitude

Prefer an understanding of ophthalmic terminology, spelling and pronunciation

Prefer a general understanding of ophthalmic disease s

EDUCATION AND / OR EXPERIENCE

High school diploma or GED required

Experience and / or training, including customer service; or equivalent combination of education

Experience with medical terminology, medical insurance experience preferred

One year of experience in business, ophthalmic / medical billing, patient collections and coding preferred

LICENSES AND CREDENTIALS

Minimum Required :

SYSTEMS AND TECHNOLOGY

Proficient in Microsoft Excel, Word, PowerPoint, Outlook.

NextGen and Waystar software experience.

PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

The majority of the time on-the-job is spent walking, sitting, using hands to hold items and move items, reaching with hands and arms, talking, hearing, stooping, crouching and bending

At times the job may require weight to be lifted up to 50 pounds

The job requires the following types of vision : close, distance, peripheral and depth perception

Typical noise level for the work environment of this job is moderate (i.e. business office with computers and printers, light traffic)

Working in an office environment with sustained posture in a seated position for extensive periods of time

Must be able to communicate clearly in person and over the telephone

Hearing must be adequate to perform job duties in person and over the telephone

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

NOTE : This job description is intended only to describe the general nature and level of work performed. The Financial Counselor must be able to travel to various satellite locations as needed for work assignments. A valid Florida driver's license is required. This job description is not intended nor should it be interpreted as an exhaustive list of all duties, skills and responsibilities. The Financial Counselor will perform all duties listed in this job description as well as any other assigned by management. Overtime may be required

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