Patient Financial Counselor (40hr, Day) On-Site Burlington, MA
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Job Location:
Peabody, MA - USA
Monthly Salary:
$ 21 - 28
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
When you join the growing BILH team youre not just taking a job youre making a difference in peoples lives.
This role will be on-site in Burlington MA.Job Profile Summary
Under the direct supervision of the Supervisor of Financial Counseling and leadership of the Manager of Financial Counseling the Patient Financial Services Counselor acts as a liaison for patients to the health system; providing guidance and support for all financial components of healthcare; specifically focusing on billing concerns understanding insurance options and benefits gaps in coverage and payment options. Additionally the Patient Financial Services Counselor provides assistance with patient statements payment plans pricing estimates Financial Assistance Federal/State benefits and the managed care process. This position supports Patient Access and both Hospital and Professional Billing areas and works in conjunction with Customer Service.
Job Description:
Essential Duties & Responsibilities including but not limited to:
- Maintains annual Certified Application Counselor certification for the state of Massachusetts.
- Assists over the phone or in-person to address financial matters or concerns; discusses and documents any issues resulting from collection notices statements and/or other billing and insurance issues.
- Responsible for helping patients understand their Explanation of Benefits (EOB) including insurance policies and covered services.
- Works with departments and providers throughout the organization to ensure the resolution of patient financial concerns; this includes elective plastic and/or low coverage or non-covered medically urgent procedures.
- Helps coordinate services with outside stakeholders to provide necessary coverage for patients who require an enhanced coordination of benefits due to disabilities.
- Follows established protocols ensuring appropriate financial counseling actions have been taken and communicates back to the department prior to scheduling procedures that will not be covered by insurance. This includes elective plastic and/or low coverage or non-covered medically urgent procedures.
- Assists with providing timely estimates for services to patients (either orally or in writing) in compliance with CMS price transparency regulations.
- Collects payments for self-pay patients: pre-payments and outstanding balances including copayment and deductibles and out of pocket expenses in accordance with PFS policy and procedures.
- Follows guidelines set forth by leadership to educate and enroll qualified patients in payment plans for outstanding or anticipated balances.
- Screens and approves patients for Financial Assistance (Charity) by following Financial Assistance Policy guidelines.
- Visits patients who are inpatient or in the outpatient clinics when appropriate to discuss coverage applications and payment options.
- Supports patients with MassHealth/Medicaid Open Enrollment; providing education and processing necessary applications.
- Addresses Managed Care concerns with patients who require assistance.
- Works directly with Customer Service for resolution of financial issues including account adjustments statement generation or billing errors.
- Works on projects as assigned.
- Adheres to all corporate and governmental compliance issues as directed.
- Compliance with all Cash and Collection Policies and Procedures.
- Adheres to our Customer Service standards to provide exceptional patient service.
Minimum Qualifications:
Education:
- High School Diploma required
Licensure Certification & Registration:
- CAC Certification preferred. CPC Certification is a plus.
Experience:
- 2-3 years experience in Financial Counseling Social Work Case Work Patient Access or Billing field preferred and a general understanding of hospital and professional billing procedures.
- EPIC system experience preferred.
Skills Knowledge & Abilities:
- Excellent customer service skills.
- Excellent written and oral communication and interpersonal skills required.
- Must exhibit tact diplomacy and discretion at all times.
- Must be able to multi-task and work in a fast-paced detail-oriented environment.
- Working knowledge of MS Office suite and database systems with the ability to learn new systems as they become available.
- In the absence of any of these skills must demonstrate the ability to be thoroughly trained to meet organizational standards.
Pay Range:
$21.53 - $28.98The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors that may include seniority education training relevant experience relevant certifications geographyof work location job responsibilities or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials call pay premium pay overtime pay and other additional pay practices as applicable to the position and in accordance with the law.
As a health care organization we have a responsibility to do everything in our power to care for and protect our patients our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
More than 35000 people working together. Nurses doctors technicians therapists researchers teachers and more making a difference in patients lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
Key Skills
- Financial Services
- Financial Models
- Account Management
- General Ledger Accounts
- ERP
- Payroll
- External Auditors
- Customer Relationships
- Credit Card
- Financial Statements
- Business Units
- Annual Budget
- Income
- New Clients
- Financial Management
About Company
Easily find the care you need when you need it. Find a doctor, schedule an appointment and put your health first. With 13 locations, our expert health care providers are nearby and ready to help.
