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Patient Financial Counselor

A Patient Financial Counselor offers financial advice and assistance to patients regarding medical bills. They are the liaison between patients and their insurance companies; often coordinating payments and answering questions from both parties. Their job is to handle financial obligations so that patients and physicians can focus on healthcare.

Responsibilities of a Patient Financial Counselor include:

  • Communicate with patients and insurance companies on the phone
  • Appropriately document and report payment information
  • Educate patients about payment options and financial assistance
  • Negotiate and strategize patient payment arrangements
  • Update patient accounts and balances
  • Review and process patient and insurance company forms

Patient Financial Counselors will often work pharmacies and pharmacy insurance programs to make sure prescribed medications are covered by the patient’s financial resources. In cases where an insurance company does not deem a patient’s condition or medication to be covered under their policy, a Patient Financial Counselor will work hard to provide proper documentation so that treatment is covered. They may also secure grants or financial aid for those in need of additional financial assistance.

Qualifications for a Patient Financial Counselor

Although only a high school diploma is necessary to become a Patient Financial Counselor, an associate or bachelor degree from an accredited university is preferred. The best asset to have is medical office experience. Patient Financial Counselors must be able to communicate effectively with patients, families, doctors, and insurance providers. Strong customer service is also required.