Financial Counselor

Summary: 

Under the direction of the Financial Counselor Supervisor and Manager a Financial Counselor will provide services to uninsured and underinsured patients in assigned inpatient and outpatient settings. These services include walking patients through state-wide insurance and grant program options, certified assitance in application process, and insurance benefit and selfpay balance education.

Job Responsibilities: 

1) Secures sponsorship for uninsured and underinsured patients by screening patients for eligibility for a variety of grant and/or government sponsored programs, identifying and counseling Medicare patients without secondary insurance, assisting with applications for supplemental coverage, and ensuring all billing information has been obtained for liability cases and newborn coverage.

2) Assists patients in completing MassHealth, DDU, and BHS Financial Assistance applications and helps approved patients in selecting a plan and denied patients in redetermination efforts.Tracks status of initiated applications to facilitate and expedite the approval process.

3) Corrects/updates patient and guarantor demographic, financial, and insurance information in appropriate systems. Ensures that all data collected fulfills requirements for claim submission to third parties. Thoroughly documents significant account activity appropriately.

4) Maintains knowledge of current resources available to the uninsured and underinsured making appropriate referrals as necessary.

5) Collaborates with case managers, social workers, and nursing units on various eligibility requirements and patient benefits to obtain the most comprehensive coverage and sponsorship possible.

6) Maintains knowledge of payer guidelines pertaining to benefit, eligibility, and authorization information by use of web portals and carrier communications.

7) Correct/update patient and guarantor demographic, financial and insurance information in appropriate systems. Ensure that all data collected fulfills requirements for claim submission to third parties. Document significant account activity appropriately.

8) Meets all productivity standards for the position.

9) Maintains an account accuracy average rate of >/= 97%.

10) Demonstrates understanding and skilled use of necessary computer programs.

11) Cross-trained to grade 42 registration responsibilities. BMLH ONLY

12) Performs mentoring responsibilities during new staff introductory period.

13) Demonstrates knowledge of hospital billing functions and applications.

14) Attends state and regional meetings regarding MassHealth guidelines and training. Shares knowledge with fellow staff and leadership professionally and in an effort to close any education gaps.

15) Demonstrates organizational awareness in order to identify and communicate issues or concerns.

16) BFMC ONLY: review and respond to patient billing questions, receive and correctly apply payments to patient accounts in HP24, complete daily cashier functions and prepare deposits as needed and/or as assigned BFMC ONLY.

17) BMLH and BNH ONLY: Cross-trained to grade 42 registration responsibilities.

18) BNH ONLY: Registers and/or pre-registers patients both in person and via telephone.

Required Work Experience: 

1) Proficient in Financial Counseling Level II activities

Preferred Work Experience: 

1) Proficient in Financial Counseling Level II activities

Skills and Competencies: 

1) None Listed

THE ADVANTAGES OF WORKING WITH BAYSTATE!

• Excellent Compensation High-quality, low-cost medical, dental and vision insurance
• Generous PTO – up to 25 days in the first year, with scheduled earned increases
• Continuing education support and reimbursement
• First Time Home Buyers Financial Packages
• Farm Share Memberships
• 403b retirement company match & annual company contribution increase based on years of service
• Free money coach advice from a certified professional
• Wellbeing programs that include but are not limited to mental, physical, and financial health
• Pet, home, auto and personal insurance
• Life insurance
• Reimbursement for a variety of wellbeing activities, included but limited to gym membership and equipment, personal trainer, massage and so much more!
• Wellbeing programs that include but are n