Clinic Based Financial Counselor

Equitas Health•Columbus, OH

3d•Onsite

About The Position

Equitas Health is seeking a part-time Financial Counselor to provide timely and accurate financial counseling to uninsured or underinsured patients. This role involves assisting patients in understanding their financial coverage and costs, identifying those in need of financial assistance, and guiding them through applications for Ohio Medicaid, the Health Insurance Exchange Marketplace, Equitas Health’s Financial Assistance Program, and other relevant programs. The Financial Counselor will also be responsible for coordinating with various departments and ensuring compliance with quality standards and confidentiality policies.

Requirements

High School diploma or equivalent
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
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.

Nice To Haves

Experience with EPIC or other Medical Software is a plus.

Responsibilities

Counsel patients regarding available resources.
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.
Coordinate 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.