Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account.

Exemption Status:

Non-Exempt

Schedule Details:

Monday through Friday

Scheduled Hours:

8:30am - 5:00pm

Shift:

1 - Day Shift, 8 Hours (United States of America)

Hours:

40

Cost Center:

25080 - 5428 Financial Counseling

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

Major Responsibilities:
1. Interviews, screens and assess applicants and family members in a variety of on campus 
locations utilizing income and household composition and other criteria in accordance with 
CMS and other governmental established guidelines for program eligibility. 
2. Determines qualification for affordable health insurance coverage, including the application of 
advance premium tax credits (APTC), premium assistance programs, Medicare Savings Plans 
and any other program they may be determined eligible. 
3. Interacts with patients, the community, and outside agencies in a professional manner in 
keeping with the Mission and Vision of UMMHC. 
4. Facilitates enrollment through the online Health Connector Health Insurance Exchange (HIX) 
or any other program application by accurate and timely submission of necessary paperwork 
according to state and federal regulations and policies. 
5. Follows up with patients in person or by telephone to obtains appropriate confidential financial 
and medical information on incomplete applications.to establish eligibility for various 
financial assistance programs.
6. Acts as the liaison for patients with MassHealth, the Health Connector and the Health Safety 
Net to assist in the resolution of eligibility discrepancies, applications status updates, and any 
other issue that may arise in the determination process. 
7. Facilitates patient understanding of health access options including but not limited to 
eligibility rules, coverage types, enrollment periods, products and plans available through 
MassHealth, the Health Connector, Medicaid Managed Care, and the Health Safety Net 
program.
8. Responsible for coverage of the Financial Counseling call center to act as a resource for 
patients and families, members of the community, clinical departments and other Revenue 
Cycle departments with insurance coverage issues and questions.
9. Provides and documents price estimates request to patients in accordance with federal price 
transparency regulations. 
10. Works within EPIC work queues to identify and reach out to uninsured/underinsured 
patients/families (inpatient, outpatient, surgical day, psychiatric in patients, psychiatric outpatients, etc.) for the purpose of screening for assistance programs and upgrades to a richer benefit program.


Position Qualifications: 
License/Certification/Education: 
Required: 
1. High School Graduate. 
2. Certified Application Counselor (CAC)certification required within 45 days of hire as a 
condition of employment. 
3. Completes annual recertification and all mandatory ongoing training provided by the 
Massachusetts on-line Learning Management System and complies with privacy and 
security regulations that meet all federal program standards. 

Preferred: 
1. Associate or bachelor’s degree in Business, Social Services or related field. 

Experience/Skills: 
Required: 
1. Previous experience in healthcare, accounts receivable, Financial Counseling, medical 
billing, or a related field. 
2. Proficient data-entry and strong organization skills with attention to detail. 
3. Effective communication and customer service skills both verbal and written.
4. Ability to use specialized applications software and computers