Patient Assistance Counselor

Sanford HealthWisconsin Rapids, WI
9d

About The Position

The Patient Assistance Counselor is responsible for interviewing, verifying insurance benefits, and following up with uninsured and underinsured patient referrals to assess and assist with their medical, social and financial needs. The individual reviews financial assistance and medication assistance applications to ensure program and financial requirements are met. The individual may calculate income and assets totals and determine level of financial assistance award, and medication assistance eligibility, according to protocol. The Patient Assistance Counselor maintains a thorough knowledge of health care coverage opportunities available through local, state or federal and pharmaceutical programs and Foundation grants, and assists with outreach and enrollment to bridge patients with these resources.

Requirements

  • Two years’ experience in medical business office, health care setting or comparable experience required.
  • For FHC Dental Center PAC, one year experience in FHC medical or dental office may be acceptable.
  • For positions hired within the FHC dental centers: Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) within three months of hire.
  • Certified Application Counselor designation through the Centers for Medicare and Medicaid Services within three months from the first fall training offered after hire.
  • Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid.

Nice To Haves

  • Successful completion of a diagnosis, current procedural terminology (CPT) and medical terminology courses at time of hire.
  • For positions hired within the FHC dental centers: Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) at time of hire.
  • Certified Application Counselor designation through the Centers for Medicare and Medicaid Services at time of hire.

Responsibilities

  • Interviewing, verifying insurance benefits, and following up with uninsured and underinsured patient referrals to assess and assist with their medical, social and financial needs.
  • Reviews financial assistance and medication assistance applications to ensure program and financial requirements are met.
  • Calculate income and assets totals and determine level of financial assistance award, and medication assistance eligibility, according to protocol.
  • Maintains a thorough knowledge of health care coverage opportunities available through local, state or federal and pharmaceutical programs and Foundation grants, and assists with outreach and enrollment to bridge patients with these resources.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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