Financial Counselor

Overview

Experience : 3+ Years

Location : Qatar (Local Candidates Only)

Contract Duration : 3 months

Experience in a healthcare facility is a must.

Key Role Accountabilities

• Advises and counsels patients and guarantors as to rights, responsibilities and procedures with regards to payment for care.
• Responds to patients’ insurance benefit questions, generates charge estimates and assists with making payment plans.
• Addresses all questions and concerns in courteous professional manner.
• Liaises with patients / families to identify the most appropriate account resolution.
• Coordinates with patients / families on method of payment and establishes payment arrangements / plans if patients have problems with payment.
• Creates payment plans tailored to the needs of patients / families after thorough evaluation, this may include a pre-procedure deposit as well as a monthly payment agreement.
• Assists patients / families with financial assistance applications as needed and completes charity processing for assigned patients, as appropriate.
• Ensures appropriate signatures are obtained on all necessary forms.
• Provides training for new Financial Counselors I and conducts additional training on as needed basis.
• Assists in cash collection from patients / families : performs down payment transaction in system, generates receipt voucher and collects down payment amounts / co-payments and other out of pocket amounts from patients.
• At discharge, ensures collection of the remaining balance from patients / families.
• At the end of the shift, reconciles the amounts collected from patients with the amounts on the payment transactions report generated from the system and reports any discrepancy amount.
• Processes assigned pre-authorization requests through manual and electronic internal referral systems.
• Prioritizes pre-authorization requests.
• Submits and follows up pre-authorization requests prepared by the Assistant Financial Counselor and other inquiries to the NHIC (National Health Insurance Company) and other insurance providers.
• Communicates with assigned clinical staff departments to obtain additional information as required by the insurance provider or the payer.
• Performs urgent pre-authorization requests in a timely manner in agreement with Manager of insurance and escalates issues to senior financial counseling staff on as needed basis.
• Works with health insurance providers and key departments to promote an understanding of pre-authorization requirements and processes.
• Updates the system with the outcomes of the pre-authorization requests (approval, partial approval, reason of decline or request of additional information, etc.).
• Notifies the concerned staff about the outcomes of the pre-authorization requests.
• Maintains proper logs and documentation on assigned requests.
• Participates in departmental process improvement activities.
• Maintains confidentiality of all patients and medical / clinical information.
• Performs other functions as necessary to accommodate departmental change, workload and emergencies.

Qualifications

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