Financial Counselor

Location

Doha, Qatar

Experience

3

Job Type

Outsourcing

Job Description

Experience: 3+Years

Location: Qatar (Local Candidates Only)

Contract Duration: 3 months

(Experience in a healthcare facility is must)

KEY ROLE ACCOUNTABILITIES

• Advises and counsels patients and guarantors as to rights, responsibilities and procedures with regards to

payment for care.

• Responds to patients' insurance benefit questions, generates charge estimates and assists with making

payment plans.

• Addresses all questions and concerns in courteous professional manner.

• Liaises with patients/families to identify the most appropriate account resolution.

• Coordinates with patients/families on method of payment and establishes payment arrangements/plans

if patients have problems with payment.

• Creates payment plans tailored to the needs of patients/families after thorough evaluation, this may

include a pre-procedure deposit as well as a monthly payment agreement.

• Assists patients/ families with financial assistance applications as needed and completes charity

processing for assigned patients, as appropriate.

• Ensures appropriate signatures are obtained on all necessary forms.

• Provides training for new Financial Counselors I and conducts additional training on as needed basis.

• Assists in cash collection from patients/families: performs down payment transaction in system, generates

receipt voucher and collects down payment amounts/co-payments and other out of pocket amounts

from patients.

• At discharge, ensures collection of the remaining balance from patients/families.

• At the end of the shift, reconciles the amounts collected from patients with the amounts on the payment

transactions report generated from the system and reports any discrepancy amount.

• Processes assigned pre-authorization requests through manual and electronic internal referral systems

• Prioritizes pre-authorization requests.

• Submits and follows up pre-authorization requests prepared by the Assistant Financial Counselor and

other inquiries to the NHIC (National Health Insurance Company) and other insurance providers.

• Communicates with assigned clinical staff departments to obtain additional information as required

by the insurance provider or the payer.

• Performs urgent pre-authorization requests in a timely manner in agreement with Manager of insurance

and escalates issues to senior financial counseling staff on as needed basis.

• Works with health insurance providers and key departments to promote an understanding of pre-

authorization requirements and processes.

• Updates the system with the outcomes of the pre-authorization requests (approval, partial approval,

reason of decline or request of additional information, etc.)

• Notifies the concerned staff about the outcomes of the pre-authorization requests.

• Maintains proper logs and documentation on assigned requests.

• Participates in departmental process improvement activities.

• Maintains confidentiality of all patients and medical/clinical information.

• Performs other functions as necessary to accommodate departmental change, workload and

emergencies.