Financial Counselor

Hiring Financial Counselor in Qatar

Experience: 3+Years
Location: Qatar (Local Candidates Only)
Contract Duration: 3 months (Experience in a healthcare facility is 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.