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Baystate Health · 1 month ago

Financial Counselor R38890

Springfield, MA

Full-time

Onsite

New Grad, Entry Level

$18.91/hr - $27.53/hr

Baystate Health is a healthcare provider that is looking for a Financial Counselor. The Financial Counselor will assist uninsured and underinsured patients by guiding them through insurance options and providing support with applications for financial assistance.

DeliveryFitnessHealth CareHospitalMedical DeviceStaffing Agency

Responsibilities

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

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

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

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

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

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

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

Meets all productivity standards for the position

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

Demonstrates understanding and skilled use of necessary computer programs

Cross-trained to grade 42 registration responsibilities. BMLH ONLY

Performs mentoring responsibilities during new staff introductory period

Demonstrates knowledge of hospital billing functions and applications

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

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

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

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

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