ABOUT US

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values are:

• We serve faithfully by doing what’s right with a joyful heart.
• We never settle by constantly striving for better.
• We are in it together by supporting one another and those we serve.
• We make an impact by taking initiative and delivering exceptional experience.

JOB SUMMARY

The Financial Counselor performs financial clearance tasks like verifying insurance and providing price estimates. This role resolves disputed billing issues through patient interaction. It also serves as an expert in financial assistance policies and facility collections, and supports special projects.

QUALIFICATIONS

• EDUCATION - H.S. Diploma/GED Equivalent
• EXPERIENCE - 3 Years of Experience

• Works closely with facility leadership to ensure all patients are financially cleared and screened.
• Conducts patient interviews to obtain demographic and financial data for registration, insurance verification, pre-certification and billing.
• Records accurate patient demographic information when reviewing previous accounts and accounts with future dates of service.
• Follows and acts on several complex system policies (financial assistance, limited plan, point of service, out of network, etc.)
• Obtains and screens guarantor financial information for financial assistance and or refers patient to appropriate resource for public assistance programs.
• Provides estimates of procedures and services, calculates payment requirements, and negotiates pre-service payments according to financial clearance requirements.
• Establishes payment arrangements for future and previous services.
• Reviews future schedule to ensure pre-authorization and pre-payments have been collected.
• Assists with contacting the physician’s office and patient to ensure pre-authorization and referral requirements are met before the service date.
• Reviews and interprets explanation of benefits from payers. This helps patients and guarantors understand claims processing or denial of services.