Note: The job is a remote job and is open to candidates in USA. R1 RCM is a healthcare revenue cycle management company seeking a Financial Counseling Representative to support patients with insurance eligibility, financial responsibility, payment options, and assistance program applications. The role also collaborates with clinical and administrative departments, supports metric performance, provides customer service, and assists with team training and issue resolution.
Responsibilities
- Contact/check insurance carriers and websites for non-automated eligibility and act as an advocate for the patient
- When limited benefit plans are identified, counsel patients on their insurance benefits and recommend alternative sources of payment and financial assistance when appropriate
- Explain financial responsibilities for services received, payment options, and point of service collections on procedures to patients or parties responsible for payment
- Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency
- Provide patients and their families support with gathering necessary documents for Medicaid or assistance programs
- Exceptional subject matter expertise of all funding source options
- Serve as liaison between Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in completing assistance program applications and determine eligibility and coverage
- Notify manager, physician and servicing department of possible delay of service for any elective, non-urgent admissions, procedures and scheduled diagnostic testing which have not been approved prior to the date of service
- Proven ability to consistently meet productivity goals and drive high-quality work output
- Assists leadership with analysis of screening & solution defect reviews and denials analysis
- Takes strong accountability for team’s screening, solution, and conversion metric performance
- Provides hands-on training, mentoring, and aiding to other team members as needed
- Provide excellent customer service by going above and beyond to create a great experience for patients
- When complex enrollment issues occur, associate drives resolution and supports other team members with resolution
- Leverage excellent customer service to assist with resolving patient escalations related to billing or other concerns, leveraging CSU or other appropriate channels of resolution as needed
- Perform all other duties and projects as assigned
Skills
- Exceptional subject matter expertise of all funding source options
- Proven ability to consistently meet productivity goals and drive high-quality work output
- High School - Equivalent experience will be considered
- Minimum of 4 years of experience
- Sitting
- Standing
- Extended Computer Usage
- Walking
Benefits
- Remote work environment
- The opportunity to constantly learn, collaborate across groups and explore new paths for your career
- Competitive benefits package
Company Overview