Financial Counselor

BOONE MEMORIAL HOSPITAL INC • Madison, WV

5d • Onsite

About The Position

Boone Memorial Health is seeking a dependable, detail-oriented Financial Counselor for its Business Office team. The position helps patients understand their financial responsibilities, identify health coverage and financial assistance programs, and establish appropriate payment arrangements. The role supports Medicaid presumptive eligibility, insurance coverage, pre-service financial counseling, Good Faith Estimates, and accurate patient account processes. It requires strong communication and organizational skills, attention to detail, and the ability to discuss sensitive financial matters with compassion and professionalism.

The position is based at BMH Medical Records in Madison, West Virginia. Work is performed primarily in an office or hospital setting and involves regular interaction with patients, clinical staff, and administrative personnel. The work includes frequent computer use, telephone communication, document review, and patient interaction; competing deadlines, interruptions, and sensitive financial discussions may occur. Occasional travel to other BMH facilities or off-site locations may be required for training, meetings, or other work-related activities. The position has no direct supervisory responsibilities.

Requirements

• High school diploma or equivalent.
• At least two years of relevant experience in hospital patient accounting, financial counseling, patient access, insurance eligibility, or benefits enrollment.
• Ability to interpret insurance benefits, calculate patient financial responsibility, and maintain accurate account records.
• Strong communication, organization, problem-solving, and customer service skills.
• Ability to handle confidential information and communicate sensitive financial matters with empathy and professionalism.
• Ability to successfully complete required West Virginia Medicaid Presumptive Eligibility training and maintain competency.
• Must complete all BMH-required training, including HIPAA and patient confidentiality requirements.

Nice To Haves

• Experience with West Virginia Medicaid Presumptive Eligibility and WV PATH.
• Knowledge of Good Faith Estimates and healthcare financial assistance programs.
• Experience with hospital billing, patient collections, or patient financial services.
• Familiarity with TruBridge EHR and Microsoft Excel.
• Associate degree in Business, Healthcare Administration, or a related field.
• Healthcare financial counseling, patient financial services, or Medicaid eligibility certification.
• Prior training or certification in healthcare financial counseling or Medicaid eligibility.

Responsibilities

• Review uninsured patients for Medicaid eligibility, presumptive eligibility, and other available coverage or financial assistance programs.
• Complete Medicaid presumptive eligibility screenings, determinations, applications, and required submissions.
• Assist patients with obtaining or reinstating full Medicaid coverage by coordinating with the West Virginia Department of Human Services (DoHS).
• Monitor pending applications, missing documentation, eligibility decisions, renewals, and coverage effective dates.
• Maintain accurate Medicaid eligibility records and update applicable tracking systems and the TruBridge EHR.
• Coordinate with Registration, Scheduling, Prior Authorization, and other departments to review scheduled procedures and determine estimated patient financial responsibility.
• Contact patients before scheduled services to explain estimated out-of-pocket costs and discuss available payment options.
• Collect payments and establish payment arrangements in accordance with BMH policies.
• Explain the Financial Assistance Application (FAA) process and assist patients with appropriate referrals.
• Coordinate Good Faith Estimates, including preparation, delivery, documentation, and revisions in accordance with applicable requirements.
• Review online Patient Liability Estimate requests and communicate estimated costs to patients.
• Assist with patient account inquiries, insurance updates, payment posting, payment plans, and account follow-up.
• Provide Business Office coverage during staff absences, PTO, and periods of increased workload.
• Maintain accurate account documentation, reconcile payments, and follow established cash-handling procedures.
• Protect confidential patient and financial information in accordance with HIPAA and BMH policies.
• Identify opportunities for process improvement and perform other related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED