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Eskenazi Health · 3 weeks ago

Financial Counselor (Suite)

Indianapolis, IN, US, 46202

Full-time

Onsite

New Grad, Entry Level

Eskenazi Health is a public hospital division serving Marion County, providing a comprehensive range of health services. The Financial Counselor role involves assisting customers with securing verifications and explaining available payer programs, ensuring timely documentation and application processing while maintaining confidentiality.

Health Care

Responsibilities

Accept daily assigned customer referrals in management designated systems to determine customers to be screened/interviewed

Assist walk-in customers as they present

Explain available payer programs and benefits to customers, including Healthy Indiana Plan, various Medicaid or State programs and services, Health Insurance Marketplace, COBRA, or any other possible third party payer sources, or the hospital's charity program, Eskenazi Health Financial Assistance program

Interview/screen customers for all potential payer programs as described in previous job function

Assist customer with information necessary for securing verifications from various companies/agencies (Work One, banks, life insurance companies, health information, physician offices, Social Security Administration, Health Department etc.)

Complete timely submission of documentation and application in management designated system(s), adhering to all deadlines and requesting extensions from management when necessary

Document and update application status in management designated system(s) on a regular basis

Maintain confidentiality of patient health information in compliance with HIPAA regulations

Contact patients by phone, correspondence, or home visit to continue to secure necessary documentation

Monitor progress of applications to ensure application completion and processing timelines are adhered to

Attend interviews (phone or in-person) with State, County or other payer program representatives for those patients with signed authorization that are determined not able to participate, have requested representation, or have a history of lack of cooperation

Update management designated system(s) with eligibility determinations and update all appropriate EMR accounts if eligibility is retroactive

Mentor peers, including training as needed

Ability to meet all productivity and quality requirements

Qualification

Eligibility policy knowledgeHealth insurance knowledgeMicrosoft Office proficiencyBilingual (English/Spanish)Investigative skillsEffective communicationOrganizational skills

Required

Accredited Associate or Bachelor's degree; OR equivalent work/business experience and high school diploma required

Must meet all federal and state required navigator training and certification requirements within 30 days

Extensive knowledge of eligibility policy rules and processing requirements for programs administered by CMS, FSSA, and other applicable State and Federal programs

Extensive knowledge of health care related insurance rules and guidelines, coverage and benefit plans, and strong ability to calculate and demonstrate insurance and patient payment methodologies and respective amounts due

Strong investigative, analysis and judgment skills

Excellent spelling and grammar; good phone skills; basic math skills; organized, set priorities, meets deadlines; ability to multi-task and carefully proof own work

Must demonstrate effective communication skills by conveying necessary information accurately, listening effectively and asking questions when clarification is needed

Ability to work independently and as part of a team

Professional demeanor in person, email, and over the phone

Proficiency in Microsoft Office Tools

Must be sensitive to the medical needs of customers and professional duties of hospital staff

Ability to adjust to changes in policies, procedures, and systems