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Patient Access Rep – Financial Counselor TMCH Cancer Center Craycroft

Tucson Medical Center

RemoteFull timeMid levelPosted today
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About the role

SUMMARY**:**

The Patient Access Rep - Financial Counselor is responsible for assisting patients and their families in understanding and managing the financial aspects of their healthcare. This includes verifying insurance coverage, estimating out-of-pocket costs, arranging payment plans, and identifying financial assistance programs. The role ensures compliance with hospital policies and regulatory requirements while delivering compassionate and informed support to patients.

ESSENTIAL FUNCTIONS:

  • Interview patients or their representatives to assess financial status and determine payment options.
  • Verify insurance eligibility, benefits, and authorization requirements.
  • Provide cost estimates and explain patient financial responsibility.
  • Collect deposits, co-pays, and deductibles; establish and monitor payment plans.
  • Assist patients in applying for financial assistance, charity care, or third-party funding.
  • Ensure completion of financial documentation in accordance with hospital policies.
  • Perform medical necessity screening and ensure compliance with system requirements.
  • Collaborate with clinical departments and physician offices to obtain necessary documentation.
  • Maintain accurate records and documentation in EHR and financial systems.
  • Prepare daily deposits and reconcile financial transactions.
  • Adhere to HIPAA and organizational confidentiality standards.
  • Performs related duties as assigned.
MINIMUM QUALIFICATIONS

EDUCATION: High school diploma or GED required; associate degree or vocational training in healthcare or finance preferred..

EXPERIENCE: Three (3) years in a healthcare or medical office setting, including experience in insurance verification, financial counseling, or patient access.

LICENSURE OR CERTIFICATION: None required; CHAA or related certification preferred.

KNOWLEDGE, SKILLS, AND ABILITIES:

  • Knowledge of healthcare billing, insurance plans, and financial assistance programs.
  • Strong interpersonal and communication skills.
  • Ability to explain complex financial information in a clear and compassionate manner.
  • Proficiency in EHR systems, payer portals, and Microsoft Office.
  • Attention to detail and accuracy in documentation.
  • Ability to manage multiple tasks in a fast-paced environment.

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