Outpatient Financial Counselor

Philadelphia, PA, US, 19107

Job Type: 

1300 MKT - Wanamaker Building Req ID: 27596

Shift: Days

Employment Status: AF - Active - Regular - Full Time 

Job Summary

Outpatient Financial Counselor is responsible for the insurance verification and identification of covered and non-covered services, explanations of benefits structures, necessary follow-up with families, education and information re: referral issues, authorization questions, billing questions including contract participation, general financial counseling activities and superb, family-centered customer service for all New Jersey Specialty Care Center Locations.

Job Responsibilities

1. Demonstrate knowledge and understanding of all billing policies and procedures with regard to CHOP and the physician practice plans’ contracts and issues.

2. Contact insurance carriers to verify eligibility and obtain coverage information prior to patient visit or prior to end of visit

3. Evaluate uninsured families for Medical Assistance/Public Health Insurance in accordance with state income guidelines

4. Assist the New Jersey Referral Coordinator and Voorhees Cardiology and Hematology/Oncology Patient Service Representatives with performing their assigned duties

5. During calls for insurance verification purposes, collects information regarding total benefit structure and covered/non-covered services.

6. Handle calls from patient families and staff regarding various billing issues

Required Licenses, Certifications, Registrations
Required Education and Experience
  • High school diploma or equivalent.
  • Previous customer service background.
  • Previous managed care and/or insurance background.
Preferred Education, Experience & Cert/Lic
  • Associate’s or Bachelor’s degree.
  • Previous hospital and/or physician office billing experience.
  • IDX computer experience.
  • Healthcare registration experience.
Additional Technical Requirements

All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption.

Children's Hospital of Philadelphia is committed to providing a safe and healthy environment for its patients, family members, visitors and employees. In an effort to achieve this goal, employment at Children's Hospital of Philadelphia, other than for positions with regularly scheduled hours in New Jersey, is contingent upon an attestation that the job applicant does not use tobacco products or nicotine in any form and a negative nicotine screen (the latter occurs after a job offer).

Children's Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.

VEVRAA Federal Contractor/Seeking priority referrals for protected veterans.  Please contact our hiring official with any referrals or questions.

CHOP Careers Contact 

Talent Acquisition

2716 South Street, 6th Floor

Philadelphia, PA 19146 

Phone: 866-820-9288




Nearest Major Market: Philadelphia

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