Financial Compliance Counselor

Job Overview:

The Financial Compliance Counselor is responsible for providing patients with a positive financial experience by helping patients navigate & understand insurance benefits and out-of-pocket responsibility. Creates complex financial estimates accurately and efficiently for patients shopping for healthcare services and for services scheduled at a TriHealth hospital facility, ambulatory site or provider offices; estimates can also include providers for which we do not bill for, adding to the challenge. Coordinating financial clearance with insurance companies, providers and patients in an inbound/outbound call center setting. Make outreach calls to provide education to patients on insurance benefits, financial responsibility and financial assistance options, with a special focus on Out of Network plans. Ensures compliance with guidelines set by government programs and TriHealth policies, such as the federal regulations Price Transparency and the No Surprises Act.

Job Requirements:

High School Degree or GED
General Studies
Ability to operate multiple computer applications
Excellent verbal and written skills
Effective problem solving and critical thinking skills Customer service experience
3-4 years customer service experience
1-2 years of Clerical, Healthcare, Finance, and/or insurance industry

Job Responsibilities:

Other Job-Related Information:

Working Conditions:

Climbing - Rarely
Concentrating - Consistently
Continous Learning - Frequently
Hearing: Conversation - Consistently
Interpersonal Communication - Frequently
Lifting <10 Lbs - Occasionally
Lifting 11-50 Lbs - Rarely
Pulling - Occasionally
Reaching - Occasionally
Reading - Consistently
Sitting - Consistently
Standing - Occasionally
Thinking/Reasoning - Frequently
Use of Hands - Consistently
Color Vision - Consistently
Walking - Occasionally

TriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS…

Welcome everyone by making eye contact, greeting with a smile, and saying "hello"

Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist

Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS…

Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met

Offer patients and guests priority when waiting (lines, elevators)

Work on improving quality, safety, and service

Respect: ALWAYS…

Respect cultural and spiritual differences and honor individual preferences.

Respect everyone’s opinion and contribution, regardless of title/role.

Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS…

Value the time of others by striving to be on time, prepared and actively participating.

Pick up trash, ensuring the physical environment is clean and safe.

Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS…

Acknowledge wins and frequently thank team members and others for contributions.

Show courtesy and compassion with customers, team members and the community