Patient Financial Assistance Counselor
About The Position
This role is responsible for providing financial support to patients, including assessing and approving financial assistance applications, managing HPE Medicaid applications, generating pre-service estimates, conducting pre-service insurance eligibility reviews, determining out-of-pocket expenses, setting up payment plans with debt-to-income assessments, assisting with drug co-pay applications, and serving as a resource for on-site billing questions. The position also involves reviewing international patient billing and processing pre-payments. The counselor will provide optimal face-to-face service to all patients needing assistance and facilitate referrals to Medicaid as applicable. Responsibilities include completing and approving/denying Financial Assistance Applications in Epic/Onbase, performing insurance eligibility reviews for hospital and professional services, providing estimates and out-of-pocket requirement details, setting up drug coverage in EPIC, and using Cyracom translation devices for patients requiring translation services. The role also entails reviewing patient bills, resolving issues or connecting patients with appropriate resources, taking pre-payments and payments towards payment plans, and setting up payment plans. Daily review of EPIC reports and work queues for financial follow-up, updating EPIC with flags, guarantor, registration, insurance, and billing indicators are also key duties. Adherence to contractual and accepted payer guidelines is essential to minimize reimbursement loss, denials, or delays, with analysis of denials to determine root causes when necessary. International patients will be reviewed, and pre-payments will be set up prior to treatment per MC Policy. This position will not consider candidates who require immigration sponsorship at this time or in the future.
Requirements
- High School or equivalent required.
- 4 years relevant experience in customer service
- Extensive use of desktop computers and applications.
Nice To Haves
- Bachelor’s Degree preferred.
Responsibilities
- Provide optimum face to face service for all patients needing assistance
- Facilitates referrals to Medicaid as applicable
- Completes and approves/denies Financial Assistance Applications/ Epic/Onbase
- Perform insurance reviews for eligibility for hospital and professional services
- Provides estimates, out of pocket requirements, copayment and co insurance, payment plans, D/I review
- Support drug co pay application completion / set up drug coverage in EPIC
- Use Cyracom translation devices for all patients requiring translation services
- Review patient bills and provide resolution or provide connection to a resource able to address the issue.
- Take pre payments as well as payments towards payment plans, sets up payment plans
- Review daily EPIC reports and work queues to provide financial follow up
- Updates EPIC and reviews flags, guarantor, registration, insurances and appropriate billing indicators
- Adheres to contractual guidelines and accepted payer guidelines
- Makes every effort to minimize loss of reimbursement, denials or delays. Analyzes denials when needed to determine root cause.
- Review International patients and set up pre-payment prior to treatment per MC Policy
Benefits
- Medical, Dental, and Vision Insurance
- Paid Time Off
- Long-term and Short-term Disability
- Retirement Savings
- Health Saving Plans
- Flexible Spending Accounts
- Certification and education support
- Generous Paid Time Off
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
