Walk-in || Financial Counsellor

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. Financial Assessment

• Evaluate a patient's financial situation and ability to pay for healthcare services.
• Review income, expenses, insurance coverage, and available resources.
• Identify potential financial barriers to treatment.

2. Insurance Verification and Education

• Verify insurance eligibility and benefits.
• Explain coverage details, deductibles, co-payments, co-insurance, and out-of-pocket costs.
• Help patients understand policy limitations and exclusions.

3. Cost Estimation

• Provide estimates of treatment costs before services are rendered.
• Explain expected patient responsibilities.
• Discuss alternative treatment options when appropriate from a financial perspective.

4. Financial Assistance Guidance

• Screen patients for charity care, government programs, and hospital financial assistance programs.
• Assist with applications for Medicaid, Medicare, or other support programs.
• Connect patients with community resources and nonprofit organizations.

5. Payment Planning

• Develop affordable payment plans for patients.
• Negotiate payment arrangements in accordance with organizational policies.
• Monitor payment compliance and provide follow-up support.

6. Patient Advocacy

• Advocate for patients facing financial hardship.
• Work with healthcare providers to explore cost-effective treatment options.
• Help resolve insurance denials and billing disputes.

7. Billing and Claims Support

• Explain medical bills and account statements.
• Assist patients in understanding charges and coding issues.
• Coordinate with insurance companies regarding claim status and appeals.

8. Compliance and Documentation

• Maintain accurate records of patient interactions and financial assistance activities.
• Ensure compliance with healthcare regulations, privacy laws, and organizational policies.
• Protect confidential patient information.

9. Collaboration with Internal Teams

• Work closely with:
• Revenue Cycle Management (RCM) teams
• Admissions departments
• Social workers
• Case managers
• Clinical staff
• Coordinate patient financial services throughout the care journey.

10. Financial Education and Counseling

• Educate patients on managing healthcare expenses.
• Provide guidance on budgeting for medical costs.
• Improve patient financial literacy and decision-making.

Key Skills Required

• Knowledge of healthcare insurance and reimbursement systems
• Financial analysis and counseling skills
• Customer service and communication skills
• Problem-solving and negotiation abilities
• Familiarity with healthcare regulations and compliance requirements
• Empathy and patient-centered approach
• Attention to detail and documentation skills.