Lead Financial Counselor


Position Details

Department: PCH-MAIN | Hospital Registration
Category: Patient Financial Services
Location: Gilbert
Posting #: 719572
Employee Type: Regular

Position Summary

Posting Note: This position will train out of the Phoenix Children's Main campus in Phoenix until new facility is completed at Mercy-Gilbert in Gilbert, AZ. The schedule for this role is Monday - Friday from 9:00am - 5:30pm. Knowledge of AHCCCS/HEA processes and application required.

This position guides and trains the Family Financial Counselors in working with patient families to educate them on insurance benefits, payment options and out of pocket amounts due, assisting them in obtaining 3rd party coverage through government and commercial avenues and walking them through the PCH financial assistance and premium assistance programs when applicable. The Lead Financial Counselor thinks creatively about coverage options in a changing healthcare environment and provides a customer service friendly approach that is coordinated with with the patient's care team in order to ensure that the family has a full understanding of liability, coverage and coverage options, and payment options.

Position Duties

  1. Conducts training and quality assurance with family financial counselors to ensure that they understand all aspects of their job duties and are performing them consistently and at the standard level set by the organization. Ensures that staff are oriented to the job expectations so they may fully carry out their responsibilities.
  2. Maintains a positive working relationship with patients/guarantors, insurance companies, government entities, clinical personnel, co-workers and management to promote teamwork, cooperation and a positive public image for PCH.
  3. Fulfills all the duties of the Family Financial Services Counselor and acts as back up coverage for staff shortages due to PTO, open positions, and times of high volume.
  4. Participates in a variety of unit and hospital education programs to maintain current skill and competency levels.
  5. Provides input regarding staff performance to the Supervisor of Admitting and Financial Counseling such that he/she can review employees' performance annually and can take corrective action when necessary.
  6. Resolves problems with internal and external clients. Involves other supervisors an department leadership as necessary.
  7. Maintains an in depth understanding of the Federal Marketplace, Medicare, Managed Care, AHCCCS, and other third party payer rules, authorization and billing requirements.
  8. Acts as primary financial contact for all international patients seeking health care services from PCH/PCMG.
  9. Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values


To advance hope, healing and the best healthcare for children and their families


Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

  • Offering the most comprehensive care across ages, communities and specialties
  • Investing in innovative research, including emerging treatments, tools and technologies
  • Advancing education and training to shape the next generation of clinical leaders
  • Advocating for the health and well-being of children and families
  • We place children and families at the center of all we do
  • We deliver exceptional care, every day and in every way
  • We collaborate with colleagues, partners and communities to amplify our impact
  • We set the standards of pediatric healthcare today, and innovate for the future
  • We are accountable for making the highest quality care accessible and affordable

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Do you meet this requirement?
1. Associates degree in health care, business or related field OR the equivalent combination of education and experience.
Do you meet this requirement?
1. Ability to speak and write Spanish.
2. AMPFM and Misys platform experience.
3. Experience with full disclosure laws, credit analysis and the fair debt collection practices act.
4. Experience with and knowledge of the HIPAA privacy act.
5. Experience with HMOs and other third-party payers within and outside the United States.
6. Experience with related Federal and State programs available to the uninsured.
7. Four (4) or more years of experience in a health care revenue cycle environment.
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Climbing - Occasionally
2. Physical Requirement - Feeling (sensing textures and temperatures) - Occasionally
3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Frequently
4. Physical Requirement - Hearing - Constantly
5. Physical Requirement - Pushing/pulling - Frequently
6. Physical Requirement - Reaching - Frequently
7. Physical Requirement - Sitting - Frequently
8. Physical Requirement - Standing - Frequently
9. Physical Requirement - Stooping/crouching/kneeling/crawling - Occasionally
10. Physical Requirement - Talking - Frequently
11. Physical Requirement - Tasting/smelling - Occasionally
12. Physical Requirement - Walking - Frequently
13. Physical Requirement - Near Vision - Occasionally
14. Physical Requirement - Far Vision - Occasionally
15. Physical Requirement - Color Discrimination - Occasionally
16. Physical Requirement - Use of keyboard, mouse and/or computer equipment - Frequently
17. Physical Requirement - Lift up to 35 pounds without assistance - Occasionally
18. Physical Requirement - Lift more than 35 pounds without assistance - Occasionally
19. Occupational Exposure/Risk Potential - Inside office environment - Applicable
20. Occupational Exposure/Risk Potential - Confined areas - Applicable
21. Occupational Exposure/Risk Potential - Airborne communicable diseases - Applicable
22. Occupational Exposure/Risk Potential - Bloodborne pathogens or bodily fluid - Applicable
23. Occupational Exposure/Risk Potential - Fumes or airborne particles - Applicable
24. Occupational Exposure/Risk Potential - Hazardous materials exposure - Applicable
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply