Financial Counselor (Finance)

Colorado Retina Associates is looking for a Financial Counselor!
Colorado Retina Associates is the premier retina practice of the Rocky Mountain region. Come join a team that strives to provide advanced care and cutting-edge therapies for our patients. Just as we aim to have top notch patient care we aim to take great care of our team members by providing competitive salary & benefits, continuing education and advancement programs, opportunity to work with the top-ranked retina specialists in the US and state-of-the-art equipment and retina treatment methods.

This position will be mainly located out of our Parker office when onsite but may need to also work at other locations when needed.

Colorado Retina Associates is complying with the Covid-19 Vaccine Mandate. Colorado Retina requires employees to be vaccinated as a condition of employment, subject to accommodation. All candidates, upon hire, will be required to provide proof of vaccination or have a valid accommodation.

Pay Range: $22.14 - $35.42
Job Type: Full Time, Onsite
Position Summary:
The Financial Counselor performs all necessary activities to ensure care can proceed as scheduled including verifying insurance coverage, confirming referral requirements, requesting referrals when needed, verifying payer coverage of proposed treatment plans, requesting and tracking prior authorizations, and appealing denied authorization requests. This role reviews patient accounts for accuracy and corrects as necessary, prepares Good Faith Estimates (GFEs), collects payment in advance or provides direction to office staff to do so.
This position works directly with clinic personnel, insurance companies, funding organizations, and patients.

Job Duties:

Reviews patient appointment schedules in advance and confirms that appointments are scheduled correctly, that insurance coverage is active and accurate and is attached to the appointment.
Utilizes eligibility systems, payer web portals, or phone calls to confirm active insurance coverage as needed.
Confirms prior authorizations and referrals are in-place; confirms diagnosis submitted supports medical necessity; requests referrals and authorizations as needed and documents in NextGen; appeals denied prior authorization requests
Adds alerts and authorizations into NextGen and Nextech
Submits benefits investigation (BI) requests to drug funding organizations to confirm benefits coverage status
Follows up on paperwork process through to final decisions for co-pay assistance programs
Reviews patient account balances for accuracy; corrects as necessary; explains balances to office staff and patients as needed
Provides cost and out-of-pocket expense estimates to patients as needed
Assists patients with payment arrangements and with financial applications
Maintains patient confidentiality at all times
Shows dependability and reliability in achieving goals

Job Requirements:

High School Diploma or GED
Associate or bachelor's degree preferred or a combination of years and relative
Two or more years' experience in a billing setting
Strong customer service experience

Preferred Skills/Experience:

Broad knowledge and experience in Insurance authorizations and funding programs
Above average skills in Insurance navigation and eligibility
Excellent communication skills and a positive attitude.
Ability to make independent decisions and exercise discretion when working with patients and insurance
Excellent analytical and problem-solving
Strong verbal and written communication
Familiarity with medical terminology and abbreviations.

Our benefits include:

Competitive salary
Safe harbor/profit sharing plan
Full medical, dental, and vision insurance
Pet insurance
Legal, life, accident, disability, and hospitalization insurance