MelroseWakefield Hospital · 9 hours ago
Financial Counselor
Tufts Medicine is a healthcare organization, and they are seeking a Financial Counselor to coordinate insurance verification and financial counseling for patients. The role involves assisting uninsured and underinsured patients in obtaining benefits and ensuring reimbursement for services provided.
Health CareHome Health CareMedical Device
Responsibilities
Ensures that all appropriate demographic and insurance information is captured on each inpatient admission. Verifies eligibility and benefit levels by the next business day following the date of admission
Responsible for identifying patients who are Medicaid eligible and completing Medicaid applications for patients who fall within the Medicaid assistance guidelines. This includes interviewing family members, attorneys, outside social service agencies or other professionals as needed in order to obtain the information necessary to complete this process. Information pertaining to asset and income verification will also be required
Meets with patients in the ED or inpatient care setting
Communicates effectively and timely with patient/family and other colleagues
Works collaboratively with Case Management, Social Work, MDs and other clinical team members
Clearly documents all work completed in EMR
Follows applications from submission through final decision. Updates EMRs accordingly and communicates with patients/families of the final decision and any next steps that need to be completed
Assists patients with enrollment in Managed Care/ACO plans, enrollment via the Health Connector, employer sponsored insurance/COBRA, or Medicare plans
Assists patients in applying for Tufts Medicine Financial Assistance application. Follows application from submission through final determination
Assists patients in applying for disability benefits when applicable
Monitors EPIC work queues assigned and meets daily/weekly productivity standards
Escalates issues to leadership timely
Qualification
Required
High school diploma or equivalent
One (1) year of hospital/health care experience in the areas of Patient Access
CAC Certification within 4 weeks of hire
Preferred
Associates degree
Benefits
Comprehensive Total Rewards package
Supports your health, financial security, and career growth
Company
MelroseWakefield Hospital
MelroseWakefield Hospital and Lawrence Memorial Hospital provide high-quality, community-based care.
Funding
Current Stage
Late StageCompany data provided by crunchbase