Financial Counselor (Suite)

HHC•Indianapolis, IN

11d•Onsite

About The Position

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis. The Financial Counselor assists customers 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.).

Requirements

High School Diploma or GED required.
Associates Degree, Bachelor’s degree preferred or 2 years of experience in financial counseling, insurance verification, credit, collection and billing, including pre-admissions and admission registration, preferably in a hospital setting
Extensive knowledge of eligibility policy rules and processing requirements for programs administered by CMS, FSSA, and other applicable State and Federal programs
Knowledge of medical and insurance terminology
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
Must be able to perform basic mathematical calculations.
Ability to organize and prioritize tasks in a fast-paced environment.
Excellent written and oral communication skills
Must demonstrate good organizational skills, set priorities, meet deadlines; ability to multi-task and carefully proof own work
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

Nice To Haves

Bilingual in English/Spanish is a plus
Indiana Navigators Certification within 45 days of hire

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