Cape Fear Valley Health · 12 hours ago
Financial Counselor-Full Time-Days
Hoke
Full-time
Onsite
Entry Level
1+ years expCape Fear Valley Health is a healthcare organization seeking a Financial Counselor to manage patient accounts and insurance verifications. The role involves interviewing patients, verifying insurance benefits, and ensuring financial clearance for medical services.
Health CareHealth DiagnosticsHospitalNon ProfitRehabilitation
Responsibilities
Contacts and interviews patients, responsible parties and insurance companies regarding hospital or ambulatory service to secure insurance benefits
Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms (EDI transactions, web access and by calling payers) and documenting information within the appropriate registration system, supporting with reference number
Determines the need for appropriate service authorizations (pre-certifications, 3rd party authorizations, referrals) and contacts the payer, physician and/or case management/utilization review personnel, as necessary. Ensure authorization matches test(s) ordered
Pre-registers the patient for upcoming visit(s) including validating/obtaining and entering demographic, financial, and insurance information
Validates medical necessity (LMRP/LCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance
Contacts physicians/office staff for clarification, if cases require clarification of diagnosis and/or test(s)/procedure(s)
Informs patient/guarantor of their liabilities and collects appropriate patient co-payments, co-insurances, deductibles, deposits and outstanding balances at the point of pre-registration
Calculates patient liabilities and provides financial education, referring the patient to resource counseling, as required. Documents payments/actions in the patient accounting system and provides the patient with a payment receipt. Assists patient with payment arrangements as needed for remaining balance
Properly screens appropriate patients for market insurance
Obtains signed physician orders for scheduled tests and procedures from physicians/offices for testing and procedures, and scans into electronic record
Completes appropriate follow-up on insurance denials and initiates appeal, retro-authorization, etc. as needed
Assists insurance companies, physician, and physician practices, and or hospital departments with patient information in accordance with HIPAA guidelines
Meets or exceeds accuracy standard goal determined by Patient Access Leadership; Ensures integrity of patient accounts by working error reports daily, entering accurate data, and documenting all attempts made to collect and or obtain missing documentation
Other duties as assigned
Qualification
Required
High school graduate or equivalent required
Patient Access Specialist certification (CPAS) required within 1 year of employment
1 year insurance/clerical experience within a hospital or medical office setting
Knowledge of insurance and collection of payments
Knowledge of Medical Terminology
Knowledge of Microsoft software
Excellent verbal and written communication skills, customer service skills and problem-solving abilities
Ability to appropriately handle complexity and stress with the changing needs of the patients, families, visitors, and the Health System
Must be able to communicate orally, see, and hear to collect information
Must have dexterity to operate office equipment
Position operates in an office, call center environment
The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen
The noise level is low to moderate
Bends, reaches, pushes and pulls file drawers to file records and reports
Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 pounds
Preferred
Associates Degree in Business or Health Care Administration and/or Computer Technology preferred
Benefits
$2,000 Bonus
Company
Cape Fear Valley Health
Cape Fear Valley Health offers treatments and medicine for heart disease along with replacement surgeries, rehab, pastoral care, and more.
Founded in 1952Elizabethtown, North Carolina, USA
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Michael Nagowski
Chief Executive Officer
Bret Johnson
Chief Financial Officer
Recent News
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2025-09-30
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