Patient Financial Counselor

Overview

Extraordinary Careers. Endless Possibilities.

With the nation’s largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states.

Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.

Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

The Patient Financial Counselor is responsible for coordinating payment with patients, collecting outstanding balances, and answering patient billing questions. The Patient Financial Counselor explains benefits, discusses the co-pay and/or out-of-pocket responsibilities with patients, conducts hardship interviews, develops payment plans for patients, processes CODs as well as payments that come in through the mail, and works to obtain and maintain the correct address of patients.

Hours: 9:30AM - 6PM CST/ 7:30AM - 4PM PST

• Explains the patient’s benefits, discusses co-pays or out-of-pocket responsibilities, and creates a mutually agreed-upon payment plan to ensure payment
• Conducts hardship interviews with patients as needed
• Receives patient phone calls and answers their questions about invoices/statements received
• Contacts patients to request additional information if insurance has terminated or denied charges
• Works with pharmacy on active accounts with outstanding balances. Handles COD arrangements
• Generates monthly patient statements
• Processes payments that come in through the mail
• Researches patient addresses when receiving returned mail, and works to secure accurate billing address
• Contacts patients with balances on a daily basis to set up payment arrangements and collect outstanding balances. If payments are not made per the arrangement, places a follow-up call and may work to set up a new payment arrangement
• Analyzes accounts and exhausts all other potential coverages (Medicare, Medicaid, etc.)
• Maintains A/R days against Company guidelines for all self-pay accounts. Decreases A/R over 120 days
• Transfers patient balances from internal collections to an outside collection agency once 90 days past due or after Company’s collection efforts have been exhausted. Serves as the primary contact with outside collections agencies, answering any questions they may have.
• Provides excellent customer service to all internal and external customers
• Participates in the Company orientation process for roles interacting with the PFC
• Works directly with department Manager, ensuring tasks are completed and deadlines are met
• Assists department Manager in process development
• Performs other duties as assigned by management

Basic Education And/or Experience Requirements

• Minimum High School Diploma/GED and working knowledge of medical billing and/or collections processes/concepts

• Prior experience analyzing data
• Strong attention to detail and the production of accurate work
• Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates
• Ability to work independently and complete assigned activities with limited supervision
• Intermediate level skill in Microsoft Excel 2007 or later (for example: formatting text and borders of cells, working with workbooks…