Financial Counselor

Baylor St. Luke’s Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. Our team’s efforts have led to the creation of many research programs and initiatives to develop advanced treatments found nowhere else in the world. In our commitment to advancing standards in an ever-evolving healthcare environment our new McNair Campus is designed around the human experience—modeled on evidence-based practices for the safety of patients visitors staff and physicians. The 27.5-acre campus represents the future of healthcare through a transformative alliance focused on leading-edge patient care research and education. Our strong alliance with Texas Heart® Institute and Baylor College of Medicine allows us to bring our patients a powerful network of care unlike any other. Our collaboration is focused on increasing access to care through a growing network of leading specialists and revolutionizing healthcare to save lives and improve the health of the communities we serve.

Responsible for financially clearing patients prior to services, at the bedside, and at discharge to obtain the patient’s portion of financial obligation. will also determine eligibility for the hospital’s various financial assistance  programs.

ESSENTIAL KEY JOB RESPONSIBILITIES
1. Performs Exemplary collection Functions and financial assistance for self‐pay, managed care/insurance accounts with large deductibles/co‐pays/co‐insurance, Medicare deductible and co‐pays.
2. Collect and/or negotiate point of service payments (co‐pays, deductibles, self‐pay amounts) or link to financial assistance programs.
3. Clearly records and Maintains complete documentation of activities performed in account notes and other databases.
4. Answers incoming calls and Provides resolution or Directs to the appropriate party of resolution/action.
5. Convey estimates of the patient responsibility portion of the billed cost of service to patients under deductible, coinsurance, and standard co‐pay benefit designs based on established charge estimates for common procedures either in writing or verbally.
6. Counsels patients regarding their third‐party coverage, financial responsibility, and billing procedures.
7. Review patient account summaries of unbilled charges, billing, payments, and collection activities.
8. Obtain all forms required for patients potentially qualifying for financial assistance.
9. Review and monitor accounts for inpatients and initiate proper action.
10. Compose various correspondence related to reimbursement and billing procedures.

11. Screen and inform patients of various healthcare financial assistance programs.
12. Contact for external and internal customers requiring assistance with billing inquiries and answers all telephone inquires.
13. Responsible for obtaining HINN, ABN, LTR letter.
14. Assist with departmental coverage (registration) as needed.
15. Other duties as assigned.

Required Education and Experience:  

• High School Diploma / GED
• Two (2) years of experience

Dislosure Summary:

The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.