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Beth Israel Lahey Health · 1 day ago

Patient Financial Counselor

Beth Israel Deaconess Hospital Plymouth

Full-time

Onsite

Entry, Mid Level

$18.81/hr - $33/hr

2+ years exp

Beth Israel Lahey Health is a growing healthcare organization making a difference in people’s lives. The Patient Financial Counselor acts as a liaison for patients, providing guidance and support for all financial components of healthcare, focusing on billing concerns and insurance options.

Elder CareHealth CareHospitalPrimary and Urgent CareProfessional ServicesTraining

Responsibilities

Maintains annual Certified Application Counselor certification for the state of Massachusetts

Assists over the phone or in person to address financial matters or concerns; discusses and documents any issues resulting from collection notices, statements, and/or other billing and insurance issues

Responsible for helping patients understand their Explanation of Benefits (EOB) including insurance policies and covered services

Works with departments and providers throughout the organization to ensure resolution of patient financial concerns; this includes elective, plastic, and/or low coverage or non-covered medically urgent procedure

Helps coordinate services with outside stakeholders to provide necessary coverage for patients that require an enhanced coordination of benefits due to disabilities

Follows established protocols ensuring appropriate financial counseling actions have been taken and communicates back to the department prior to scheduling procedures that will not be covered by insurance. This includes elective, plastic, and/or low coverage or non-covered medically urgent procedures

Assists with providing timely estimates for services to patients (either orally or in writing) in compliance with CMS price transparency regulations

Collects payments for self-pay patients: pre-payments and outstanding balances including copayment and deductibles, and out of pocket expenses in accordance with PFS policy and procedures

Follows guidelines set forth by leadership to educate and enroll qualified patients in payment plans for outstanding or anticipated balances

Screens and approves patients for Financial Assistance (Charity) by following Financial Assistance Policy guidelines

Visits patients who are inpatient or in the outpatient clinics, when appropriate, to discuss coverage applications and payment options

Supports patients with Masshealth/Medicaid Open Enrollment; providing education and processing necessary applications

Addresses Managed Care concerns with patients who require assistance

Works directly with Customer Service for resolution of financial issues including account adjustments, statement generation, or billing errors

Works on projects as assigned

Adheres to all corporate and governmental compliance issues as directed

Complies with all Cash and Collection Policies and Procedures

Adheres to our Customer Service standards to provide exceptional patient service

Qualification

Financial CounselingEPIC system experienceCustomer service skillsWrittenBilling procedures knowledgeOral communicationCertified Application CounselorCertified Professional CoderMS Office proficiencyMulti-tasking abilityInterpersonal skills

Required

High School Diploma or equivalent required

Excellent customer service skills

Excellent written and oral communication and interpersonal skills required

Must exhibit tact, diplomacy and discretion at all times

Must be able to multi-task and work in a fast-paced, detail-oriented environment

Working knowledge of MS office suite and database systems with the ability to learn new systems as they become available