Patient Financial CoordinatorCert Application Counselor

UnityPoint Health is seeking a Patient Financial Coordinator to join our team! The Patient Financial Coordinator assesses patients financial and insurance information in order to determine if Medicaid Marketplace other Community Resources or UPH Financial Assistance Program is the best option for them. This position consists of facilitating the insurance enrollment processes and managing accounts that require a detailed large scope analysis of payment/insurance options to secure reimbursement. Additionally the Patient Financial Coordinator handles active unbilled self-pay and high dollar inpatient and outpatient accounts. They receive account referrals from the Pre-access Department Utilization Review Staff Patient Access Staff Physicians Central Business Office Managers and others for high deductible out-of-pocket expenses unresolved or pending claims and other financial risk issues. This role also counsels patients that have previous debt with poor payment history are unresponsive or uncooperative in implementing appropriate payment solutions.

Location: Onsite - Waterloo IA (occasional travel to other markets as needed)

Hours: Monday-Friday 8am-4:30pm

At UnityPoint Health you matter. Were proud to be recognized as a Top 150 Place to Work in Healthcare by Beckers Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities no matter what life stage youre in. Here are just a few:

• Expect paid time off parental leave 401K matching and an employee recognition program.

• Dental and health insurance paid holidays short and long-term disability and more. We even offer pet insurance for your four-legged family members.

• Early access to earned wages with Daily Pay tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected we honor the ways people are unique and embrace what brings us together.

And we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

• Counsels patients via phone or in person reviews patients previous accounts for outstanding balances and financially counsels them on all options of payments.
• Monitors and works on a daily basis all self-pay accounts from the assigned work queues.
• Assess patients financial/insurance information in order to determine insurance eligibility.
• Gather financial data to complete initial assessment.
• Follow up with Department of Human Services and all other Public Agencies regarding application progress.
  
• Reviews Department of Human Services decisions for enrollment in applicable states.
  
• Ensure that all follow-up with the Department of Human Services has been completed for and by the patient.
• Assess patient/consumers for other Community Assistance Agencies.
• Ensure that every self-pay patient apply for Medicaid and all options have been exhausted prior to the patient qualifying for Financial Assistance.
• Tracks financial impact of PFC/CAC Program.
• Works closely with the CBO to ensure that there is cohesiveness of processes and no duplication of efforts.
  
• Communicates effectively with Case Managers to impact their plan of care.
  
• Educate patients employees and physicians regarding Medicaid and Marketplace place insurances that may be available.
  
• Possesses excellent time management skills to ensure that patients being discharged are counseled prior to handling other less time sensitive responsibilities.
• Maintains billing and collection tracking spreadsheets that captures patients and account disposition/resolution.
• Completes and submits Medicaid and/or ACA Applications for patients that may potentially qualify in a timely and accurate manner.
  
• Educates consumers/patients on Quality Health Plans deductible out-of-pocket government subsidies etc.
  
• Maintains extensive and current knowledge of Marketplace plans with Iowa and if appropriate Illinois Nebraska Wisconsin exchanges.
  
• Completes annual CAC Training for UPH as well as CMS. Displays all Certificates at all times when assisting consumers in office or in person.
  
• Provides fair impartial accurate information to assist consumers when submitting the eligibility application for a quality Health plan thru online or via phone.
  
• Assists Registration in maintaining a working knowledge of a patients Medicare life time reserve days. Provides patient education as needed.
  
• Facilitates Medicaid patients documents for non-universal charity eligibility sent to the CBO.
  
• Explains payment options UPH collections processes and accepts payments directly from our Inpatients and all patients from both the Hospital and Clinic locations.
  
• Assists patients in completing UPH Financial Assistance Application and forwards all appropriate documents to the CBO.
  
• Documents actions in all appropriate computer systems. Documentation must be thorough and include current account disposition and direction of future activities.
  
• Performs follow-up and maintains all assigned work que accounts.
  
• Updates patients Medicaid information in Epic and communicates changes to appropriate parties.
  
• Facilitates Cobra account appropriateness.

Education:

• Associates degree in a health-related field required
• Bachelors degree preferred

Experience:

• 5 years of healthcare experience in related area
• Experience and knowledge in completing and submitting Medicaid and Marketplace applications

Licenses/Certifications:

• CMS Marketplace Certified Application Counselor Certification or obtain within 12 months of hire date
• DHS Presumptive Certification or obtain within 12 months of hire date.
• Complete all Online DHS enrollment access and certifications for appropriate states or obtain within 12 months of hire date

Knowledge/Skills:

• Knowledge of Medical Terminology preferred. Strong computer skills required.
• Must be adept at multi-tasking
• Will be required to learn and work with multiple software/hardware products (sometimes concurrently) during an average workday
• Must possess excellent communication skills verbal and listening.