Rochester Regional Health · 3 weeks ago
Financial Case Manager
Rochester, NY
Full-time
Onsite
New Grad, Entry Level
$21/hr - $24.50/hrRochester Regional Health is seeking a Financial Case Manager who is responsible for reviewing uninsured and under-insured patient accounts by following the insurance verification process. The role involves assessing healthcare coverage needs, assisting patients with financial assistance applications, and ensuring compliance with documentation standards.
Health CareHospitalMedicalPrimary and Urgent CareWellness
Responsibilities
Assesses the healthcare coverage needs of uninsured and under-insured patients
Verifies insurance coverage to identify uninsured patients who may be eligible for insurance enrollment, and provides the FCM II accurate information for patient interview when needed
Assists under-insured patients with applying for secondary coverage, financial assistance applications in the acute care setting and other programs in which they be eligible
Complete all financial and secondary insurance applications with high quality work, gathers all necessary documentation and submit them to the proper agency / staff for processing
Notifies the appropriate staff of pertinent information and enters notes in a timely manner into the financial and clinical sections of Care Connect as well as any additional software programs that may be deemed necessary for the arena working in
Establishes payment plan arrangements for patients per policy for hospital and clinical accounts
Thorough knowledge of long term care Medicaid program including necessary forms, documentation requirements, agency regulations and budgeting procedures for Long Term Care arena
Follows documentation and productivity standards according to policies and procedures
Assists patients with resolving non-complex coordination of benefit issues. May need to contact third party insurance providers to rectify primary and secondary coverage errors
Collaborate with Patient Financial Services staff by contacting patients requesting they complete appeal documentation for the acute based hospital accounts
Track Private Pay residents in Long Term Care setting in order to begin Medicaid application at opportune time as to ensure no gap in coverage for nursing home
Scanning and saving applications and decisions into system for future reference
Additional duties as assigned with a positive attitude
Conveys courtesy, dignity, respect, and a positive attitude with all individuals
Demonstrates kindness and empathy when interacting with patients, family and visitors and is able to anticipate the needs of the people we serve
Collaborates with patients, their family/support person(s), State or County staff, and/or other agencies to ensure patients receive the coverage they are eligible for in a timely manner
Ensure timely completion of release of information forms, patient financial information, financial obligations, and other applicable Rochester Regional Health forms per policy
Verifies guarantor and resident information for accuracy
Updates hospital and clinic accounts accurately with plan code and insurance information
Ensure all accounts documented timely with accurate and complete information
Maintains accurate spreadsheets and databases per department standards
Completes organizational and state (NYS of Health) required training programs
Ensures compliance with privacy and security standards per Rochester Regional Health policies and procedures
Qualification
Required
Completion of the Certified Application Counselor (CAC) training within 6 months of employment
Base knowledge of health care governmental assistance programs, guidelines, and application procedures
Able to communicate and respond to inquiries; requires effective interpersonal skills and ability to interact with the patients to explain payment policies and persuade patients to settle account balances
Ability to manage multiple concurrent assignments in a fast-paced environment
Ability to utilize Care Connect system effectively and accurately upon initial completed training
Skilled establishing priorities to complete work in a timely manner despite changes in workload, deadlines, or competing requirements
Demonstrate strong interpersonal and organizational skills to interact courteously and effectively with physicians, patients, and staff members
Ability to interact with all members of the organization in ways that enhance understanding, respect, cooperation and problem solving
Writing and editing skills to prepare grammatically routine business correspondence; such as email and letters
Skilled in operating a PC and PC-based software applications, including Microsoft Office
Ability to solve problems with minimal direction in a stressful environment and maintain a positive attitude
Demonstrate excellent time management, organizational, verbal, and written skills
Ability to handle difficult situations involving patients, physicians, or others in a professional manner
Ability to maintain confidentiality of all medical, financial, and legal information
NYS DL - valid New York State Driver's License - New York State Department of Motor Vehicles (NYSDMV)
Company
Rochester Regional Health
Rochester Regional Health provides integrated health services.
Founded in 1847
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$15.6MKey Investors
New York State Department of HealthMother Cabrini
2025-12-12Grant· $15M
2024-02-27Grant· $0.6M
Leadership Team
Richard Davis
CEO
Recent News
Rochester Business Journal
2025-12-25
Rochester Business Journal
2025-12-19
Rochester Business Journal
2025-11-07
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