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Sanford Health

Financial Counseling Representative

RemoteUnited States only
Published
Role
Support
Employment
Full-time
Company size
Enterprise
$17.75–$28/hr
Check eligibility

Open to US only. Set where you work from to check your eligibility.

No BS summary

Remote (Minnesota) full-time patient financial counselor for healthcare setting. Must understand insurance/EOBs, assist with payment plans and aid program applications, and have patient-facing communication skills. Requires ~2 years healthcare or insurance experience preferred; US-based (MN) role, 40 hrs/week.

Core skills

EOB interpretation

Required skills

knowledge of third party payersbasic bookkeeping or accounting principlesability to read and interpret Explanation of Benefits (EOBs)computer skills to operate online systems and complex softwareoral and written communication

Optional skills

post-secondary education

What you'll do

  • Provides financial counseling to assist patients in understanding their financial responsibility to Sanford and to offer appropriate resources and options to meet that responsibility.
  • Answers billing questions.
  • Reviews patient's insurance coverage and Explanation of Benefits (EOBs).
  • Provides clarification regarding what charges were incurred and why they were incurred.
  • Reviews insurance denials and provides an explanation for the denial to the patient.
  • Reviews payment plan guidelines and assists in setting up payment arrangements.
  • Determines if patient is eligible for payment assistance programs and assists in the application process, if applicable.
  • Educates patients regarding insurance concepts (copayments, covered services, effective dates, referrals) and how these affect payments.
  • May assist patient in filling out medical assistance program paperwork and referrals to Medicaid or other insurance aid or disability programs.
  • Frequently advises uninsured patients on outstanding medical costs and establishes a payment plan.
  • Interacts with patients in-person and must empathize and diffuse strong emotions.
  • Calculates and provides cost estimates for medical procedures, including the patient's anticipated share.
  • Advises on and collects prepayments for services not covered by insurance.
  • May perform guest service duties as needed.
  • Other duties as assigned.

What they require

  • High school diploma or equivalent preferred.
  • Post-secondary education preferred.
  • Two years' experience in healthcare service or health insurance preferred.
  • Knowledge of third party payers and basic bookkeeping or accounting principles is required.
  • Requires a thorough understanding of insurance products and the ability to accurately read an EOB to determine adjustments, payments received, and calculate pending balances.
  • Computer skills sufficient to operate online systems and complex software with advanced functionality.
  • Oral and written communication skills sufficient to interpret and apply policies and procedures for clarification and problem resolution.

non-profit, integrated health care delivery system, based in Sioux Falls, South Dakota, United States

🇺🇸 United StatesHealthcareEnterprisesanfordhealth.org/
$17.75–$28/hr