Hybrid Patient Financial Counselor

at CCRM Fertility

• Job title: Patient Financial Counselor
• Job type: Full Time
• Experience level: Junior
• Salary: $22 - $30 per hour
• Degree requirement: High School Diploma
• Location requirements: Hybrid, Denver, United States

About the role

• Patient Financial Counselor managing financial aspects of patient care at CCRM Fertility. Coordinating financial services and ensuring patient satisfaction through effective communication and resource management.

Responsibilities

• The Patient Financial Counselor plays a vital role in managing the financial aspects of patient care and services.
• Their impact extends across various areas, contributing to the overall efficiency, patient satisfaction, and financial health of CCRM Fertility.
• Their efforts contribute to an efficient revenue cycle, increased patient satisfaction, and improved financial outcomes, ultimately enhancing the overall patient experience.
• The Patient Financial Representative coordinates the financial aspects of a patient’s care while fostering a positive and memorable patient experience.
• This role educates patients on financial services and the steps/timeline to receive payment from the patient(s) insurance and must be accessible to patients to serve as a resource for all financial matters regarding their care.
• The Patient Financial Representative reports to the Patient Engagement Manager.
• Insurance verifications for all patients prior to the New Patient appointment and treatment cycle.
• Verify insurance benefits have been entered in the practice management system and track any insurance changes that occur during their course of care.
• Collect payments from patients prior to the scheduled service.
• Ensure valid insurance information is available in the patient’s chart.
• Serve as the patient’s primary point of contact for financial matters and ensure the patient knows the Patient Financial Services guidelines and policies during the course of care.
• Address insurance coverage discrepancies (following verification) with the patient and serve as an advocate for patients experiencing difficulty with the insurance process.
• Identify and perform pre-certification(s) required by the patient’s insurance for various services.
• Determine and communicate patient financial responsibility based on pre-certification, prior to any procedures and obtain written pre-authorization documentation.
• Identify patients eligible to proceed with ART care, provide ART Financial Consult, and obtain payments prior to care, in accordance with Care Center guidelines.
• Serve as a resource to Care Teams regarding insurance coverage limitations on a patient’s care plan.
• Other duties assigned.

Requirements

• High School Diploma or GED required.
• 1+ year medical billing experience preferred.
• Previous experience in reproductive medicine or Women’s health preferred.
• Prior experience with Athena preferred.
• Ability to work weekends, evenings, and holidays, on a rotating basis.

Benefits

• Generous Paid time-off (PTO) and paid holidays
• Medical, Dental, and Vision Insurance
• Health benefits eligible the first day of the month following your start date.
• 401(k) Plan with Company Match (first of the month following 2 months of service)
• Basic & Supplement Life Insurance
• Employee Assistance Program (EAP)
• Short-Term Disability
• Flexible spending including Dependent Care and Commuter benefits.
• Health Savings Account
• CCRM Paid Family Medical Leave (eligible after 1 year)
• Supplemental Options (Critical Illness, Hospital Indemnity, Accident)
• Professional Development, Job Training, and Cross Training Opportunities
• Bonus Potential
• Potential for Over-time Pay (Time and a half)
• Holiday Differential Pay (Time and a half)
• Weekend Shift Differential Pay ($4.00 per hour)