Financial Education: Explain hospital charges, insurance coverage (including deductibles, copays, and coinsurance), and out-of-pocket estimates before or during treatment.
Insurance Verification: Verify patient eligibility, benefits, and initiate pre-certification or prior authorization with insurance carriers.
Financial Assistance: Screen patients for eligibility in government programs (e.g., Medicaid), charity care, and drug assistance grants.
Payment Management: Establish affordable payment plans, collect deposits, and coordinate with billing teams to resolve payment discrepancies.
Record Keeping: Maintain accurate documentation of all financial interactions, payment agreements, and authorization status within the hospital’s electronic system.
Patient Liaison: Serve as a compassionate point of contact for patients and their families, addressing billing concerns and resolving insurance