Equitas Health · 4 hours ago
Clinic Based Financial Counselor
Toledo, OH 43605, USA
Full-time
Hybrid
Entry Level
$42K/yr - $53K/yr
2+ years expEquitas Health is a not-for-profit community-based healthcare system focused on providing comprehensive health services to underserved populations. The Financial Counselor will assist uninsured or underinsured patients in understanding their financial coverage and applying for relevant assistance programs. Responsibilities include counseling patients, coordinating enrollments, and managing financial applications and resources.
Health CareHospitalNon Profit
Responsibilities
Counsel patients regarding the resources available. Utilize the Medical assistance/Financial Assistance Screening tool with patients when applicable
Assist uninsured or underinsured patients with obtaining health care coverage with either the Health Insurance Exchange Marketplace or Ohio Medicaid
Assist persons of the community with Health Insurance Exchange Marketplace or Ohio Medicaid enrollments via the Connect to Care referral process
Coordinating Ryan white and Patient assistant program intervention (PAPI) enrollment
Identify patients who qualify for assistance through programs including Ryan White, provide program education and refer accordingly for enrollment assistance
Assist patients living with HIV afford services by administering the sliding fee scale and monitor patients’ cap on charges
Assist patients with other methods of financial counseling, i.e., explaining insurance benefits, requesting price estimates, and setting up payment plans
Identify patients who qualify for sliding fee and assigning sliding fee copays
Work with patients who are experiencing a hardship in filling out a hardship application. Gather the required documentation
Manage and update expired hardship applications to ensure compliance of the 6 month eligibility
Monitor the various work lists and work queues to ensure the appropriate follow-up within the expected time periods. Resolve complex outstanding patient issues
Conduct daily review and analysis of accounts flagged for review
Assist with inquiries via walk-in or phone patients regarding billing problems (i.e. Sliding Fee and Ryan White) in conjunction with the department’s counseling services
Perform benefit education and financial counseling on potential out of pocket expenses for patients who have services scheduled
Provide resources as applicable and requested to patients and persons of the community
Assist with the Connect to Care referrals providing financial counseling and coverage assistance
Overlap with other departments (i.e. Care Team, Prevention Health Navigation, Pharmacy and Health Advocacy) coordinating health care needs
Maintain compliance with quality standards
Adhere to Equitas Health Confidentiality Policy
Perform other duties as assigned
Qualification
Required
High School diploma or equivalent and 2 years' Medical experience
Insurance coverage and billing experience
ACA/ Marketplace certified and Ohio Department of Insurance (ODI) licensed or within the first 30 days of employment
Proficient with Microsoft Office (Access, Excel, Word and Outlook), accounting software, and other applications
Experience with EPIC or other Medical Software is a plus
Strong PC and computer skills required
Excellent organization skills with an ability to prioritize and manage multiple tasks and a variety of demands and work efficiently without constant supervision
Must have sensitivity to, interest in and competence in cultural differences, HIV/AIDS, minority health, sexual practices, and a demonstrated competence in working with persons of color, and gay/lesbian/bisexual/transgender community
Work well under pressure and ability to be flexible
Team player with strong communication and interpersonal skills
Ability to document and assess client's linguistic needs and identify resources needed to enhance communication
Ensure participant confidentiality
Benefits
PTO
Vision
Dental
Health
401k
Sick time
Company
Equitas Health
Equitas Health specializes in LGBTQ healthcare, advocacy, dentistry, transgender care, pharmacy, wellness and HIV/STI prevention services.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
William Hardy
President & CEO
Recent News
2024-04-10
2024-02-09
2024-02-09
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