RCM Specialist (Bilingual Spanish), Financial Securing

Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County. 

Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization.

SUMMARY

We are currently seeking an RCM Specialist, bilingual in Spanish, to join our Financial Securing team. This full-time role will work on-site (Monday - Friday, 7:45 AM - 4:15 PM).

Purpose of this position: The Financial Counselor serves as Hennepin Healthcare’s primary contact for patient reimbursement issues in accordance with established credit and Financial Counseling policies. Provides information regarding hospital payment requirements, alternative financing, and charity care programs. All communications are conducted in a manner that will result in positive patient relations and prompt reimbursement for services. The responsibilities of the Financial Counselor include functions listed below as well as other duties as assigned.

RESPONSIBILITIES

• Meets with patients that present as self-pay or under-insured to obtain valid insurance coverage, confirms eligibility if applicable, and/or review prior accounts to update insurance coverage information;
• Notifies the appropriate departments of coverage information when necessary and enters account notes into the electronic medical record
• Educates, screens, and assists patients without valid insurance coverage with enrollment in programs including, but not limited to, Medicaid, other state-based and commercial-based assistance programs, and financial assistance
• Work closely with Social Services team to resolve financially related barriers that prevent the safe discharge of an inpatient to either the community or next appropriate care facility
• Works closely with Hennepin County DHS team to expedite applications that will assist in timely discharge
• Communicates with nursing home/rehab facility/etc on pending Medicaid application to assist in our patient being accepted to their facility, also to support timely discharge
• Collects monies from patients prior to admission and/or prior to discharge, including outstanding accounts receivable, advanced down payments from self-pay patients, and co-pays and deductibles from insured patients
• Work with the Division of Expanded Care team to get appropriate forms and applications completed when a patient needs a State of MN disability determination
• Educates patients on applicable policies, such as point of service collections, payment plans, and financial assistance eligibility during the interview process
• Researches, identifies, and rectifies any special circumstances affecting delayed payment of self-pay accounts
• Works in conjunction with