Job Information
Billings Clinic Patient Financial Counselor - REI/Fertility - Bozeman in BOZEMAN, Montana
You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.
And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!
You can make a difference here.
About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more (https://www.billingsclinic.com/about-us/) about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.
Your Benefits
We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here (https://www.billingsclinic.com/careers/employee-benefits/) for more information ordownload the Employee Benefits Guide (https://www.billingsclinic.com/app/files/public/8786e5d8-f08c-4b2a-89b8-16197604bfee/NEO/Staff Benefits Guide.pdf) .
Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more!
Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more!
Patient Financial Counselor - REI/Fertility - Bozeman
PATIENT FINANCIAL SERVICES - 120.8855 (BILLINGS CLINIC BOZEMAN OB GYN)
req11706
Shift: Day
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 1.00 = 80 hours every two weeks (Non-Exempt)
Starting Wage DOE
The Patient Financial Counselor - REI/Fertility serves as the primary financial contact for patients undergoing fertility evaluation and treatment. This role supports the financial integrity and interests of the REI/IVF department by ensuring patients understand insurance benefits, treatment costs and financial responsibilities prior to initiating care. Coordinate insurance benefit verification, performs financial counseling at the time of pre-registration and pre- certification. This position collaborates closely with clinical staff, revenue cycle teams, and patients to ensure all financial requirements are met prior to treatment start dates.
Essential Job Functions
Performs customer service as the primary financial contact for REI/IVF program(s) patients regarding insurance coverage and financial responsibility by providing assistance to patient inquiries including account information, insurance billing issues (including pre-authorization or pre-certification), and quality of care issues as appropriate.
Conducts financial consultations for new and returning patients regarding fertility treatment pricing and plans and associated costs. Performs financial counseling for self pay, MVA, and commercial insurance patients with deductibles greater than established guidelines.
Provides clear explanation of financial policies, insurance benefits, and payment expectations ensuring the patient's understanding of the processes.
Presents available payment options including self-pay packages, payment plans, and third-party financing programs when appropriate.
Assists patients through financial application and approval processes when utilizing financing programs.
Participates, as needed, and within established guidelines, in negotiation of discounts with customers, including patients, attorney and collection agencies.
Confirms patient insurance eligibility and benefits related to fertility services.
Obtains required prior authorizations and precertification for applicable services prior to treatment initiation.
Coordinates with social workers, care navigators and case managers on an as needed basis regarding pre-certifications/authorizations and other financial aspects on the front end of the revenue cycle in order to impact discharge planning and non-covered services letters.
Coordinates benefit verification and assist benefit verification staff as needed.
Maintains accurate documentation of authorization approvals and payer requirements.
Ensures patients are financially cleared prior to treatment start whenever possible.
Monitors financial readiness for treatment cycles including insurance approval, patient deposits, and payment arrangements.
Communicates changes in treatment plans that may impact patient financial responsibility.
Provides timely responses to patient inquiries related to billing, insurance coverage, financial policies, and treatment costs.
Works collaboratively with Patient Financial Services to support collection of patient balances, manage self-pay account balances for transfer to bad debt and assignment to outside collection agencies.
Collaborates with physicians, nurses, coordinators, and administrative staff to ensure alignment of financial and clinical workflows.
Communicates financial clearance status to clinical teams to support appropriate scheduling of treatment cycles.
Maintains accurate documentation and records related to financial counseling activities.
Support operational workflows for outside monitoring and andrology patients receiving services within the clinic.
Minimum Qualifications
Education
- High school graduate or equivalent.
Experience
1 year of experience in healthcare revenue cycle and patient financial counseling.
Experience working with insurance verification and prior authorization, preferred.
Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more atwww.billingsclinic.com/aboutus (https://www.billingsclinic.com/about-us/)
Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.