Under the supervision of the Senior Manager of Credit and Collections, the Financial Counselor serves as advocate to uninsured and/or underinsured patients and their families, including making them aware of their estimated patient responsibility and informing them of payment options, including prompt pay discounts, payment plans, and state and federal assistance programs. Financial Counselors also collect payments, review patient eligibility, and assist with the submission of financial assistance applications. The physical work location for this role will be at the Charles River Community Health Center in Brighton or Waltham.
Interviews patients to determine eligibility for government assistance programs.
Assists patients with the completion of applications for state and federal programs.
Gathers documentation required for financial assistance applications.
Maintains ongoing communication with government agencies regarding the status of claims, following up with patients as necessary to obtain required documentation to ensure that the state gets the info needed to process the applications in a timely matter.
Adheres to hospital and legal standards regarding Protected Health Information (PHI).
Runs a daily reports, including the Registration by Location report to look for previous day self-pay patient registrations.
Work in collaboration with Patient Access and Pre-Admission Review staff to obtain demographic and insurance coverage information. Updating guarantor and subscriber information in the system as needed.
Performs Real Time Eligibility (RTE) checks to confirm and or identify patient insurance coverage, reviewing the hospital's Health Information System (HIS), payer websites, as well as contacting patients, patient's families, patient advocates, health care proxy's, and physician offices when necessary.
Achieve and maintain certification designation as "Certified Application Counselor".
Provides updates and acts as a resource to hospital personnel including Patient Access, Case Management, and Social Services on financial matters as needed.
Documents patient communications, status of financial assistance applications, and payment plans in hospital's Health Information System (HIS).
Visits self pay patients throughout the hospital including, Emergency Room (ER) and Inpatient locations to discuss patient responsibility, ability to pay, availability of financial assistance programs, etc. once cleared by clinical staff.
Requests, collects, and posts patient payments on accounts when appropriate.
Other duties as required.
High school diploma required. 2-4 year degree with a concentration in Health Care, Business Administration, Accounting, Finance or other related field preferred.
1-3 years of relevant hospital/healthcare experience.
Demonstrated experience working with people of various educational and socioeconomics background preferred.
Strong verbal and written communications skills.
Basic knowledge of Microsoft Office applications (Word, Excel, and Outlook) required.
Epic or Meditech experience preferred.
Knowledge of federal and state financial assistance programs.
Time management skills and attention to detail.
Bilingual in English and Spanish required.
Physical demands include ability to sit more than six hours per day.
Direct communication with patients (face to face, over the telephone, and/or via e-mail required more than 80% of the time.
Must be able to communicate orally and hear conversations more than 80% of the time.
Upper extremity demands include ability to perform data entry with repetitive hand movements, and visual concentration.
Mount Auburn Hospital