Financial Counselor

Job Summary 

Reviews the information obtained from the patient interview to determine Medicaid eligibility. Apply for Medicaid on the patient’s behalf, submit documents to the appropriate government agency, follow the Medicaid application through to the application determination and appeal Medicaid denials for possible decision reversals.  

 

• Attends all Medicaid trainings to consistently to adhere to all government policy updates. 

• Checks insurance verification systems to verify if a patient has any form of active coverage. 

• Determines correct Medicaid program the patient is eligible to receive. 

• Determines if the patient needs retroactive and/or ongoing coverage. 

• Appropriately refer accounts to the Medicaid Disability Specialists to determine patients’ potential for a 12-month disability. 

• Applies for Medicaid through the local Department of Social Services. 

• Submits the information requested by the Caseworker on the request for information. 

• Obtains patient’s employment and banking information with patient’s signed AR form. 

• Contacts the Department of Social Services to determine if a pending Medicaid application is on file and which caseworker has been assigned to the application. 

• Contacts Disability Determination Services to determine which examiner has been assigned and if medical records have been requested. 

• Notes all steps taken for all contacts made to patients, DSS and DDS. 

• Appropriately refer accounts to attorney group for guidance on Medicaid best practices and next steps.
• Refers appropriate denied applications to the Medicaid Appeals Specialist to determine if a state appeal is appropriate. 

 

Education, Training, and Experience 

High School Diploma or GED required; Bachelors Degree in job related field preferred. Must have knowledge of financial coverage and regulations in long-term care. 5 years experience in long-term care social work, admissions and/or financial services. Must demonstrate positive, cooperative communication with a variety of customer and peers.

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Atrium Health Navicent was incorporated on November 17, 1994 as a nonprofit corporation whose purpose is to coordinate The Medical Center, Navicent Health and other affiliated entities toward our mission: "Together, we elevate health and well-being through compassionate care."

Today, Atrium Health Navicent has more than 1,000 beds for medical, surgical, rehabilitation and hospice purposes, offers over 53 specialties in more than 50 facilities throughout the region and hosts over 100 medical residents and fellows.

Included within the Atrium Health Navicent system is The Medical Center, Navicent Health, a 637 bed, nationally verified Level I-designated Trauma Center and a four-time Magnet Designated hospital for nursing excellence worldwide.

Atrium Health Navicent provides a broad range of community-based, outpatient diagnostic, primary care, extensive home health and hospice care, and comprehensive cancer and rehabilitation services spanning the full continuum of care. Included within the system are:

·       Five acute care hospitals

·       A rehabilitation hospital

·       A new, state-of-the-art children's hospital

·       Central Georgia's first life plan community

·       An in-patient hospice facility, as well as in-home hospice care

·       Wellness and preventative services

·       Multiple urgent care centers

·       Numerous community-based partnerships that help Atrium Health Navicent deliver on its mission.

Distinguished nationally for its excellence, Atrium Health Navicent is also one of the premier teaching hospitals in the United States and serves as the primary teaching hospital for the Mercer University School of Medicine. Atrium Health Navicent supports residency-training programs in family practice, general surgery, internal medicine, obstetrics and gynecology, and pediatrics along with fellowships in critical care, geriatrics and orthopedic traumatology. Atrium Health Navicent also partners with a number of central Georgia universities and colleges to offer advanced training for nursing students. As a teaching hospital, Atrium Health Navicent attracts the best and the brightest to the area.

In 2019, Navicent Health strategically combined with Charlotte-based Atrium Health. With similar missions and complementary capabilities, we're bringing better care to everyone we serve throughout the Southeast, from the Carolinas to Georgia. Our combination has brought:

·       Access to world-class care - from the top experts to the most advanced treatments in heart, cancer and children's care.