Client Financial Advisor

The Client Financial Advisor is responsible for providing our consumers with a positive financial experience by helping consumers navigate and understand insurance benefits and potential financial liability.  The Consumer Financial Advisor is the consumers’ point of contact for financial assistance questions.  The Consumer Financial Advisor collects payments, sets up payment arrangements as appropriate, creates estimates, advises consumers in person and over the phone regarding their insurance benefits and coverage, and in some cases, assesses patient referrals for appropriateness.  The incumbent assists consumers with eligibility for government programs, and Charity Care assistance programs that can assist in managing high medical liabilities.  Independent judgment and decision making are required to address the full range of tasks and responsibilities.  This position requires the ability to plan, schedule and organize numerous tasks that directly impact the financial health of Heart of Texas Behavioral Health.  This position represents Heart of Texas Behavioral Health and the Revenue Cycle team by adhering and upholding the HOTBHN Health Mission and Vision, and Values, HOTBHN Health Services Performance Standards in providing the highest quality service.  They will support their co-workers, engage in positive interactions, and provide helpful assistance in anticipating and responding to the needs of our consumers.


EXAMPLES OF WORK PERFORMED

• Serve as the point of contact for all financial assistance-related questions.  Communicate with consumers to identify and understand financial, social, and medical histories and other relevant consumer information.
• Assess the current financial situation of consumers through the verification of consumer insurance benefits, serving as the technical expert in confirming patients benefit coverage and reimbursement.

1. Initiate the Financial Assessment screening process to evaluate eligibility for assistance programs.  Assist consumers in completing financial statements and gathering supporting financial documentation.
2. Determine the consumers financial ability to pay and explain insurance coverage and benefits to the consumer.
3. Counsel consumers on out-of-pocket liabilities.  Collect deductibles, pre-payments and outstanding balances following established collection procedures; or alternatively, create a payment plan with the patient and document the agreement appropriately.
4. If unable to establish acceptable payment arrangements for services rendered, inform the direct supervisor.
5. Consumer Responsibility Statements (will need to be able to look at consumer accounts to ensure that statements are correct before sending them out).
6. Insurance verification/referrals and authorizations.
7. Verifying insurance coverage by phone calls to insurance companies, websites, if available and online resources such as Availity, TMHP, UHC/Optum to ensure patients are eligible for benefits/services provided by HOTBHN.  Making sure of active and inactive policies.
8. Financial Assessment:
9. Meet with consumers to complete Financial Assessment.  Walking the consumer through all questions to give them their calculated MAP/MMF (Sliding Scale) amount that they will be responsible for based on their income.  Advising the consumer of their sliding scale responsibility and answering any questions they may have as to why this would be their responsibility.
10. Walking the consumer through the Charity Care Questionnaire to see if they would qualify for assistance.
11. Uninsured: The patient has no level of insurance or third-party assistance to assist with meeting his or her payment obligations.
12. Underinsured: The patient has some level of insurance for third-party assistance but still has out-of-pocket expenses that exceed his or her financial abilities.
13. Enter and update demographics into SmartCare and communicating with the billing departments so that they can set up COB properly into SmartCare to ensure claims are billed to the appropriate payer for accurate and timely reimbursement.
14. Collaborate with consumers in planning and decision making to result in optimal solutions.
15. Ability to stay calm under pressure and deal effectively with difficult situations.

Knowledge, Skills, and Essential Functions

• Excellent written and verbal communication with clients, employees, and external agencies.
• Excellent computer skills and knowledge of Microsoft Office, Outlook, and fax/scan/copy.
• Experience in providing a high level of customer service.
• Proven ability to maintain confidentiality of sensitive information.
• Must display excellent organizational skills and time management.
• Flexible and innovative.
• Stooping, bending, sitting, standing, keyboarding for prolonged periods and lifting 50 pounds
• Familiarity with medical terminology and abbreviations.
• Intermediate knowledge of MS Excel and ability export reports to excel
• Dependable and reliable in achieving goals.
• Regional travel 10%; local travel 10%

• Associate's Degree Required
• 1 year of experience in revenue cycle is required

Hours: 8AM-5PM M-F

Salary: $37,440 annually/$18.00 hourly

Location:  Waco TX 

Positions: 760

Benefits:

Heart of Texas Behavioral Health Network strives to offer competitive compensation and a comprehensive benefits package that includes:

Employer paid Health Insurance, no copays, no deductibles, 0 cost most prescriptions*
Employer paid Dental Insurance
Employer paid Life Insurance
Employer Paid Short Term Disability
Employer Paid Employee Assistance Program
Payroll Direct Deposit
12 paid Holidays per year
Excellent 401-K Retirement Plan (Center will contribute 12% of employee earnings)**
              **Certain Requirements Apply**

Generous Paid Time Off (PTO) - begins after 3 months of full-time employment