Financial Counselor (40 Hours, Days)

Position Summary:

• Under the direction of the Manager of Patient Access, identify and coordinate assistance to underinsured and uninsured patients through screening and referral to MassHealth Counselors or Patients Accounts. Collect deposits for patient liability as applicable.

Position: Financial Counselor 

Department: Patient Access

Schedule: Full Time - Days, 40 Hours

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Review and troubleshoot all accounts to determine accuracy and patient eligibility for state/federal insurance programs.

• Monitor and execute all “UR” changes in the computer system. Act on changes in a timely manner. Provide the necessary notification to HIS, BAR, physician, insurance companies, and nursing floors.

• Correct patient registration and account information in a timely manner to ensure accurate billing and reimbursement.

• Investigate and pursue all sources (i.e., physician, nursing home, employers, relative etc.) of information to determine insurance or other liability coverage.

• Utilize all available payer systems and vehicles, i.e., website, fax, and telephone, for eligibility company.

• Enter BAR notes to reflect all insurance verification activities and outcomes. Review patient registration and account details for effective insurance verification processing.

• Contact or meet with all self-pay patients and screen all accounts for medical assistance eligibility.

• Maintain knowledge of medical assistance and Virtual Gateway screening, application processes, and ED registrations.

JOB REQUIREMENTS

EDUCATION:

• High school diploma or equivalent.

• CAC (Certification Application Counselor) required within 60-days

EXPERIENCE:

• 3+ years of experience with healthcare insurance benefits, eligibility preferred. Reception/office or other hospital/healthcare experience preferred.

KNOWLEDGE AND SKILLS:

• Previous computer entry/word processing experience required.

• EPIC knowledge preferred

• Excellent organizational, interpersonal, and communication skills a must.

• Must be detail oriented.

• Knowledge of Medical Terminology

• Knowlege of price transparency/estimates

Equal Opportunity Employer/Disabled/Veterans

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.