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Patient Financial Counselor Resume Samples
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10+ years of experience
- Consult with patients on various financial options available to pay their account
- Initiated start-up of 55 Alive Drive Program. Coordinated volunteers and marketed the program through various community relations activities
- Process department payroll, Medicare claims and secondary insurance
- Assisted in developing Medicare Assistance Program (MAP) and wrote initial policy and procedures
- Assisted in developing the first Pre-Certification Program for the hospital; conducted initial research for the program
0-5 years of experience
- Followed up on insurance and patient aging. Re-submit insurance claims as necessary. Knowledgeable in timely filing restrictions.
- Reconciled insurance and patient payments. Researched and resolved incorrect payments, EOB rejections, and other issues with outstanding accounts.
- Responsible for accurate and timely booking of new accounts and charge orders within the billing system to insure submission of clean claims per filing time.
0-5 years of experience
- Identify and work to minimize potential financial risk of patient accounts through working daily time of service reports.
- Accountable for the [company name] Olympia Fields center daily statistics that are provided to the VP of finance, Director of Finance, Operations Managers and Supervisor of Administrations weekly.
- Review patient’s medical records, for correct coding and diagnosis, to assure accurate billing and rapid turnaround of claims submitted to the insurance companies.
- Act as a resource representative when questions arise regarding registration errors, proper insurance documentation and accounting correction.
- Daily use of Medical terminology, ICD-10, CPT and HCPS Level 2 coding.
0-5 years of experience
- Charged with collecting bills from all self-pay accounts
- Help patients apply for appropriate financial assistance and insurance
- Oversee all payment arrangements in the hospital
- Consulted on the creation of a new financial assistance application.
- Helped set up training guidelines, and electronic signature software
- Super User for the department
10+ years of experience
- Oversee and manage the self-pay department-floor
- Resolve escalated calls empathetically and professionally.
- Provide training and guidance for peers and new hires.
- Assisting patients with their medical bill . Setting up patients on payment plans and offering discounts
- Manage the automated dialer
- Experienced in working directly with private insurance companies to have claims reprocessed for payment.
0-5 years of experience
- Obtained health insurance information on patients
- Verified hospital benefits with third party payors
- Obtained copays/deductibles from patients
- Completed financial assistance applications with supporting financial data
- Posted payments on accounts
- Balanced cash drawer
- Established monthly payment plans on accounts
- Reviewed monthly charity applications with CFO
0-5 years of experience
- Responsible for conducting, screening and preparing application for the Charity Care/State Program, Medicaid and other Assistance to obtain coverage.
- Complete application, review patient documentation and/or medical records to take all actions necessary to expedite benefit approval.
- Maintain notes on hospital system, ongoing communication and provide updates with the billing department and social workers concerning patient’s hospital accounts.
- Maintain ongoing communication with government agencies regarding the status of claims.
0-5 years of experience
- Work with patients for repayment options
- Review accounts for billing discrepancies
- Prepare weekly and monthly reports
- Review financial assistance applications for accuracy and proper documentation
- Enter patient information into computer system
0-5 years of experience
- Data collection in a fast paced environment, from patients without health insurance.
- Conferred closely with other departments, but independently to bring Emergency Room accounts to a resolution to be billed.
- Explained assistance programs thoroughly to patients and addressed questions and concerns while explaining the hospital assistance programs and Medicaid.
0-5 years of experience
- Verify patient’s eligibility and benefits.
- Obtain prior authorizations for all Oral, Injectable medication’s, chemotherapy, Radiology and inpatient hospital admissions as well as new patient referrals.
- Met with patients to discuss coverage and benefits, explained to patient what their out of pocket cost for chemotherapy is as well as their copay amounts.
- Researched and identified available foundations where patients may obtain financial assistance and drug replacement.
- Obtain prior authorization for medications being filled through VMOC’s Oral/Injectable dispensing pharmacy. Process claims for in-house pharmacy, identify issues with claim if any and resolve with payer. Identified correct pharmacy to send specialty medications as well as Order vendor medication for patient’s whom insurance had restrictions.
- Filed appeals for medically necessary denied authorizations
- Sign off on MD hospital charges.
- Assist answering phones as well as other tasks around the office when needed.
6-10 years of experience
- Screen patients for eligibility of Mass Health, Health Safety Net, Connector Care, or in-hospital financial assistance and assisting in completing applications
- Provide patients with comprehensive information about their eligibility, plan, options, and responsibilities
- Make determinations on in-hospital financial assistance applications based on current Federal Poverty Levels and work accounts for write off based on this determination
- Set up, maintain, and edit payment plans. Updating outside billing agencies with any information pertaining to payment plans
- Answer any questions that patients might have regarding their accounts or insurance coverage for themselves or family
- Inform billers as well as outside agency regarding any claims that need to be rebilled to insurance plans
- Handle high call volume for any questions regarding a patients accounts as well as payment plans, and setting up appointments to come in to see a Financial Counselor
- Followup on applications submitted to Mass Health and the Health Connector and based on coverage determination update insurance information within patient accounts for billing
- Work self-pay reports to try and find insurance eligibility for patients seen in the emergency room and if patient is uninsured screening and setting up appointments to apply for coverage
0-5 years of experience
- Provide explanation of balances due by patient or the responsible party
- Prepare or assist in preparation of financial assistance programs that are available through local agencies used for Oncology services/treatments
- Provide information to Medicare patients regarding supplemental insurances that may be available
- Posting/adjusting balances on accounts
- Verify all major medical insurance carriers
- Inform patients of potential out of pocket expenses related to a physician order beyond a consult
- Obtain and maintain current insurance information and patient demographics
- Review and approve chemotherapy treatment plans based on payor guidelines
- Use time management tools to schedule and manage time needed for increasing productivity
0-5 years of experience
- Ensures all insurance, demographic, and eligibility information is obtained
- Performs insurance verification process on all third party payers
- Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing
- Collects co-pays, deductible and other out of pocket amounts.
- Reviewing Medical claims and ICD Coding
- Claims adjustments and negotiations on Workers Compensation Claims
- Train and develop new employees onboarding the Patient Advocate Department
- Prevents complaints by counseling with supervisors and managers who see a problem developing
- Offering suggestions to resolve potential complaints; modifying practices that cause repeated complaints.
- Resolves complaints by listening to patients and their families; directing them to a physician or supervisor
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Patient Financial Counselor
Last edited by: Gabriela Barcenas, CPRW, Content Writer II -
Gabriela Barcenas
CPRW, Content Writer IIGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
