Job Description

Overview

Shifts Available: Days

Employment Type: Full Time

Hours: 12-hour shift – Friday - Sunday 7am - 7pm

Location: Dallas Regional Medical Center – Mesquite, TX

Responsibilities

The Hospital Financial Counselor is responsible for determining patient financial responsibility through insurance verification, communicating costs prior to services, securing accurate patient information, arranging payment or financial assistance when needed, and coordinating with Case Management to ensure coverage and authorizations for care.

• Patient Financials: Meet with patients before or after services to review insurance coverage, estimate out-of-pocket costs, and explain financial obligations
• Insurance Verification and Authorization: Verify insurance benefits, obtain prior authorizations, and confirm eligibility to ensure timely reimbursement and reduce claim denials
• Assistance with Financial Aid Programs: Help patients apply for financial assistance, charity care, Medicaid, or payment plans based on financial need and hospital policy
• Education and Counseling: Educate patients and families about billing procedures, insurance processes, and available financial resources in a clear and compassionate manner
• Billing and Collections Support: Collaborate with billing teams to resolve account issues, explain bills to patients, and follow up on outstanding balances or denied claims
• Coordination with Internal Departments: Work closely with admissions, registration, case management, and clinical departments to ensure accurate and complete financial information

Qualifications

• Knowledge of standard insurance companies and verification requirements.
• Well versed in authorization processes for all payers.
• Ability to multi-task, prioritize needs to meet required timelines.
• Analytical and problem-solving skills.
• Customer Services experience required.
• High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires).

Here are some of the benefits of working at Prime Healthcare:

• Health, dental, and vision insurance options
• Paid vacation, sick time and holidays
• Bereavement leave, FMLA and other leave options
• Employer 401K options
• Tuition reimbursement options
• Life, disability, and other insurance options
• Many other amazing benefits

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf