Financial Counselor

***Work at Home***

Tennessee Orthopaedic Alliance (TOA) is the largest orthopaedic surgery group in Tennessee, with more than 35 locations across the state. Our commitment to Trust, Respect, Honesty, Teamwork, Communication, Diversity, and Accountability guides how we work and how we care for our patients and communities.

Who we are defines how we care:

• Culture: A shared commitment to Trust, Respect, Honesty, Teamwork, Communication, Diversity, and taking accountability for our own actions with the belief that every one of us makes a difference.
• Patient Access: Setting the standard for orthopedic care in Tennessee with access to over 35 locations across the state, including Ambulatory Surgery Centers.
• Patient Experience: Building strong and authentic relationships with our patients and communities by unifying through consistent collaboration to deliver exceptional patient experiences.
• Financial Stewardship: Using sound judgement to make responsible financial decisions; minimizing waste and maximizing value.

The Financial Counselor is an important link in the TOA revenue cycle effort. While most of our collections are through insurance companies, this role focuses on individuals who are in a "self-pay" mode. The result is a TOA employee who understands the importance of interpersonal communication and customer service in direct conversations with TOA patients and their designated representatives. 

• Work the daily appointments - Open balances and print statements for front desk to collect at check-in 
• Meet face to face with patients regarding balances on their account 
• Explain patient benefits (Deductibles, Co-pays, & Co-insurance amounts) 
• Set up payment plans 
• Submit adjustment requests 
• Request patient refunds 
• Assist front desk with check-out 
• Pre-service collections (Surgery deposit, ESI, & High Dollar Drugs) 
• Schedule patients for appointments or follow-ups 
• Work the self-pay report (aging report & work log) 
• Follow-up on insurance denials 
• Collect patient payments 
• Any additional task assigned by Site Manager or Front Desk Supervisor

REQUIREMENTS

• Demonstrated success in a revenue cylce or healthcare business office environment, specifically with self-pay or insurance collections. 
• Exceptional focus on Customer Service. 
• Strong, positive, telephone communication skills. 
• Ability to read and understand payer remittance advices.
• Ability to differentiate between allowed charges, contractual adjustments, line-item denials / reasons, patient responsibility (co-pay, co-insurance, and deductibles), bundled payments, etc. 
• Must be able to meet average expectations for productivity and quality standards. 
• Must possess detail orientation, and the ability to recognize patient address changes, typing errors, medical coding mistakes, or other revenue cycle errors. 
• Ability to organize and prioritize day-to-day tasks to keep work assignments current. 
• Strong mathematical skills to accurately apply discounts and to ensure correct patient balances. 
• Proficient in MS-Excel for analyzing data using basic formulas, pivot tables, and charts.

TOA is an equal opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers.