Medical Financial Counselor

Prestige Staffing is looking to fill a Medical Financial Counselor Role in the Atlanta area. This is a contract to potential hire for the right candidate. This role s responsible for ensuring patients are financially cleared prior to services by verifying insurance coverage, interpreting benefits, coordinating authorizations, delivering estimates, and providing financial counseling. This role serves as a key liaison between Patient Access Services, Patient Financial Services, and patients to reduce financial risk, ensure regulatory compliance, and enhance the patient's financial experience.
Details:

• Pay - $23-25 based on education & experience
• Hours - Mon - Fri flex start time 7a - 9a for 8 hours
• Contract to Hire role
• Onsite daily

Requirements:

• High School Diploma or equivalent
• Associate's or Bachelor's degree preferred
• CPAR, CHAA,CHAM or HFMA CRCR a plus
• 3+years of patient access, financial clearance, healthcare billing, or related revenue cycle functions, preferably in a hospital or physician enterprise.
• Inpatient and outpatient experience is desired
• Strong working knowledge of commercial, managed care, and governmental insurance plans
• Demonstrated ability to interpret benefits, authorizations, and payer determinations independently
• Strong math aptitude and financial acumen
• Excellent written and verbal communication skills
• Proficiency with Epic and Microsoft Office tools
• Ability to manage sensitive financial conversations with professionalism and empathy
• Able to pass a criminal background and drug test

Key Responsibilities:

• Provide expert guidance to patients and families by explaining insurance benefits, coverage limitations, estimates, and financial responsibility for planned or received services
• Interpret and explain benefits, explanations of benefits (EOBs), authorizations, denials, and payer determinations to patients and families
• Document benefit details, estimates, and financial discussions accurately within the EHR
• Ensure compliance with CMS-required notices, the No Surprises Act, and price transparency requirements, including delivery and explanation of patient estimates
• Establish and negotiate payment plans with patients as appropriate and in accordance with organizational policy
• Serve as the first point of contact for explaining the Financial Assistance Program (FAP) and coordinate submission of required documentation
• Perform POS collections, maintain cash drawer accuracy, process credit card transactions, and communicate effectively with patients and guarantors regarding balances
• Collaborate closely with Insurance Verification Specialists, escalating complex coverage, authorization, or financial clearance issues as needed
• Receives escalations from Insurance Verification Specialists for complex financial clearance scenarios
• Partner with Patient Financial Services, Case Management, Managed Care, and insurance carriers to resolve complex financial and coverage scenarios
• Meet with patients and families in clinics or at the bedside as required, demonstrating compassion, professionalism, and financial expertise
• Answer incoming calls, respond to voicemails and emails, and route patient inquiries appropriately in a timely manner
• Maintain working knowledge of registration workflows and provide cross-coverage support for outpatient clinics as needed