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UMass Memorial Medical Center · 4 months ago

Financial Counselor-Marlboro

Marlborough, MA

Full-time

Onsite

New Grad, Entry Level

$18.39/hr - $29.09/hr

UMass Memorial Medical Center is a leading health system in Central Massachusetts, dedicated to exceptional patient care and academic excellence. The Financial Counselor plays a crucial role in assessing healthcare coverage needs, determining eligibility for various health insurance programs, and providing guidance to patients and the community regarding financial assistance options.

Health CareMedical

Responsibilities

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

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

Interacts with patients, the community, and outside agencies in a professional manner in keeping with the Mission and Vision of UMMHC

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

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

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

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

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

Provides and documents price estimates request to patients in accordance with federal price transparency regulations

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

Works in conjunction with clinical areas, interpreters, social workers, case managers, social security outreach workers, drug assistance coordinator, enhanced benefit coordinator, care mobile, physician/provider offices and community health centers as needed to ensure access to care and timely discharge planning

Discusses financial obligations with patients prior to elective surgical days or admissions. Communicates all information to provider offices and other Revenue Cycle departments

Updates all accounts to reflect the current account status with appropriate financial class, eligibility dates, other patient financial and demographic information

Complies with established departmental policies, procedures and objectives

Attends variety of meetings, conferences, seminars as required or directed

Demonstrates use of Quality Improvement in daily operations

Complies with all health and safety regulations and requirements

Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors

Maintains, regular, reliable, and predictable attendance

Performs other similar and related duties as required or directed

Qualification

Certified Application CounselorHealthcare experienceMedical billingData entryProblem resolutionCommunication skillsBilingualCustomer serviceOrganizational skillsTeam-orientedAttention to detailIndependent work

Required

High School Graduate

Certified Application Counselor (CAC) certification required within 45 days of hire as a condition of employment

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

Previous experience in healthcare, accounts receivable, Financial Counseling, medical billing, or a related field

Proficient data-entry and strong organization skills with attention to detail

Effective communication and customer service skills both verbal and written

Ability to use specialized applications software and computers systems for patient registration and scheduling

Ability to work independently with strong problem resolution skills

Must provide own transportation

Ability to prioritize and work in high volume, fast paced, team-oriented environment

Ability to take directions and work independently

English speaking, reading and writing skills

Preferred

Associate or bachelor's degree in Business, Social Services or related field

Bilingual speaking, reading

Benefits

Signing bonus available

Company

UMass Memorial Medical Center

Umass Memorial Medical Center is the clinical partner of UMass Medical School and the largest health care system in Central Massachusetts. It is a sub-organization of UMass Memorial Health Care.

Founded in 1998