Financial Counselor Case Worker
Share
Job Location:
Poughkeepsie, NY - USA
Hourly Salary:
$ 21 - 32
Posted on:
13 hours ago
Vacancies:
1 Vacancy
Job Summary
Description
Summary:
Financial Counselor is responsible for assisting primarily uninsured and under-insured patients as they move through the financial continuum from scheduling through claim adjudication. Financial Counselors work directly with patients to maximize reimbursement through governmental programs and alleviate patient obligations through the Organizationï½s Financial Assistance Program. The position requires a high degree of intellect and critical thinking skills to make appropriate decisions of a complex nature which can have a significant financial impact on the Organization. Staying abreast of ever-changing laws and regulations mandating Medicaid eligibility and adherence to the Organizationï½s Financial Assistance Policy are essential components of the job. The Financial Counselor works both independently and as productive members of a highly collaborative team to secure reimbursement whenever possible and assist our patients with qualifying for charitable assistance from the Organization when reimbursement is not feasible.
Responsibilities:
1. Responsible to identify the best source of financial assistance available based on screening and evaluating a patientï½s unique financial circumstances and future medical needs. This includes performing a complex analysis of the patientï½s income assets and financial liabilities. Must comprehend how the intricacies of the patientï½s unique financial status relate to the regulations mandated by existing assistance programs.
2. Assists uninsured and underinsured patients with applying for State and Federal governmental assistance programs as well as charitable assistance from the Organization. Helps patients gather all appropriate documentation and completes all necessary applications.
3. Responsible to identify the need to schedule appointments and travel to meet patients in the community for any necessary components of outstanding documentation on applications.
4. Conducts interviews at bedside to ensure optimal customer service and personal attention.
5. Works in collaboration with Clinical Resource Management providers clinical departments revenue cycle departments and the Insurance Verification Team to address patientsï½ financial needs and secures potential sources of funding. Collaborates expeditiously to ensure patientsï½ timely advancement through the continuum of care.
6. Performs insurance eligibility verification and executes payer requirements as needed. Includes initiating eligibility transactions via the internet contacting the payer to obtain eligibility benefits and billing information. Updates information to ensure that correct financial classification and information is on patientsï½ accounts. May discuss Medicare Lifetime Reserve days with patients or designated representatives.
7. Collects payments from patients including prompt pay discounts and discusses payment arrangements.
8. Participates in the continuum of the life of a claim by working collaboratively with the collection departments to identify patients that may need assistance. Includes review and recommendation for bad debt based on historical patient information.
9. Stays abreast of ever-changing laws and regulations mandating Medicaid eligibility.
10. Fulfills all compliance responsibilities related to the position. Maintains a high level of ethical integrity while processing applications for government funding and other assistance programs.
11. Maintain and Model Nuvance Health Values.
12. Demonstrates regular reliable and predictable attendance.
13. Performs other duties as required.
Other Information:
Minimum Knowledge Skills and Abilities Requirements:
ï½ MS Excel Word Outlook.
ï½ Exceptional customer service and organizational skills.
ï½ High degree of intellectual proficiency and critical thinking skills. The ability to make appropriate decisions regarding situations of a complex nature.
ï½ Bilingual in Spanish or Portuguese.ï½
License Registration or Certification Requirements:
ï½ Certified Access Counselor through Access Health CT within 1 year of hire.
ï½ NY Assister certification through NYS Marketplace within 1 year of hire.
ï½ National Association of Healthcare Access certification or HBI Certification within 1 year of hire.
Company: Vassar Brothers Medical Center
Org Unit: 1037
Department: Patient Access
Exempt: No
Salary Range: $21.49 - $32.00 Hourly
Key Skills
- Load & Unload
- Shipping & Receiving
- Mac Os
- Forklift
- Freight Experience
- Lift Truck Experience
- Basic Math
- Tanker Experience
- Warehouse Experience
- Commercial Driving
- Driving
- Heavy Lifting
About Company
Our hospitals, medical practice and care centers are located throughout New York’s Hudson Valley and Western Connecticut. At every location, you’ll find excellent convenient care, a personalized approach, a connected team, and access to our network of doctors. Find care now.
