
Financial Counsellor
3 weeks ago
Key Responsibilities:
1. Patient Financial Guidance
- Meet patients and attendants during admission or treatment planning to explain estimated costs.
- Provide a detailed breakdown of packages, procedure costs, and expected out-of-pocket expenses.
- Guide patients on payment schedules and required advance deposits.
2. Insurance & TPA Coordination
- Verify insurance coverage, policy terms, and patient eligibility.
- Facilitate pre-authorizations, approvals, and coordination with TPA or insurance providers.
- Keep patients informed about approvals, exclusions, and any shortfalls.
3. Billing Support
- Collaborate with the billing team to ensure accurate patient billing.
- Help clarify any billing queries raised by patients.
- Ensure timely collection of payments before discharge or procedure.
4. Financial Assistance Programs
- Inform eligible patients about hospital-run or external financial assistance schemes.
- Assist with the application process for payment plans, charity programs, or subsidies.
- Coordinate with internal committees or external sponsors when needed.
5. Documentation & Reporting
- Maintain detailed records of financial counselling sessions.
- Document consent from patients on estimates and cost-related discussions.
- Provide regular MIS and status reports to the finance or patient services team.
Qualifications & Experience:
- Education:
- Graduate in Commerce, Business Administration, or Healthcare Management
- MBA (Finance/Hospital Management) preferred
- Experience:
- 13 years in healthcare finance, TPA coordination, or hospital billing
- Experience with health insurance processes is highly desirable
Skills & Competencies:
- Strong understanding of hospital billing and insurance processes
- Excellent communication and counselling skills
- Empathy and patience in dealing with patients under stress
- Attention to detail and strong follow-up abilities
- Proficient in MS Office and hospital information systems (HIS/EMR)
- Knowledge of local healthcare regulations and TPA practices
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