What are the responsibilities and job description for the Patient Financial Services-Financial Counselor position at Radiology Regional?
Job Type
Full-time
Description
Now Hiring - Patient Financial Services - Financial Counselor
Location : Remote / Fort Myers, FL - On-site (3660 Broadway)
Radiology Regional is one of the largest physician-driven diagnostic imaging providers, with 13 imaging centers, in Southwest Florida. We are seeking a dynamic person with a passion to care for others in the communities we serve. For over 50 years we have earned trust and confidence because of their patient care experience.
Job Summary :
Under the supervision of the Patient Financial Services Manager, the Patient Financial Services Specialist performs those duties directly involving obtaining insurance eligibility, exam prior- authorization, and time-of-service (TOS) estimations. Utilize various office procedures, software, access payer portals and use of IVR phone system, related to verification, authorization, and TOS, in radiology industry. Provide services with attention to detail and with guest services being the primary objective. Perform other related duties within job classification or organization as necessary or as assigned by management.
- Verify and assess patient's eligibility for benefits involving health insurance coverage.
- Obtain prior authorizations promptly for both scheduled and unscheduled medical procedures to ensure proper reimbursement for imaging services.
- Obtain and provide Good Faith time-of-service estimations to patients, detailing the cost associated with their procedures.
- Coordinate information from the patient (when necessary), other office staff, clinical staff, and physician as needed to complete the verification / prior authorization process.
- Maintain confidentiality of all patient information, records, including patient care information according to HIPAA guidelines.
- Engage in financial conversations with patients, explaining procedure details, benefits, and the Good Faith estimate of out-of-pocket expenses.
- Accurately identify procedure codes (CPT codes) to calculate the patient's financial obligation.
- Identify patient co-pay, coinsurance, and deductible information due at the time of service.
- Verify in-network and out-of-network insurance coverage and benefits utilizing all available verification and eligibility tools including fax, phone calls, and insurance carrier web portals.
- Contact insurance companies to obtain authorizations for medical procedures.
In addition to a collaborative work environment, we offer a generous compensation package :
And much more!
Requirements
Knowledge & Skill Requirements
Radiology Regional is an Equal Opportunity Employer
