RCM Specialist, Financial Securing

Hennepin Healthcare•Minneapolis, MN

10d•Onsite

About The Position

We are currently seeking an RCM Specialist to join our Financial Securing team. This full-time role will work on-site (Days, M-F, with potential weekends). Purpose of this position: The Financial Counselor serves as Hennepin Healthcare’s primary contact for patient reimbursement issues in accordance with established credit and Financial Counseling policies. Provides information regarding hospital payment requirements, alternative financing, and charity care programs. All communications are conducted in a manner that will result in positive patient relations and prompt reimbursement for services. The responsibilities of the Financial Counselor include functions listed below as well as other duties as assigned.

Requirements

2 year degree in Accounting, Business, Healthcare Administration, Health & Human Services or related field
2-3 years exposure to payor systems and/or knowledge of public financial resources
Bi-lingual strongly preferred, required for some positions
An approved equivalent combination of education and experience
Familiarity with statutes and regulations that impact collection of past-due accounts
Broad knowledge of government assistance programs, guidelines, and application procedures
Able to communicate and respond to inquiries; requires effective interpersonal skills and ability to interact with patients to explain payment policies and persuade patients to settle account balances
Experience using carious computer programs (Microsoft Office, OnBase, Rightfax Epic)

Nice To Haves

Bachelor’s degree in Accounting, Business, Healthcare Administration or related field
Understanding of Managed Health Care
Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria
Excellent verbal and written communication and interpersonal skills
Ability to work independently with minimal supervision, within a team setting and be supportive of team members
Proficient with Microsoft Office
Experience using electronic health record or similar software program
Ability to analyze issues and make judgments about appropriate steps toward solutions
CRCR (Credentialed Revenue Cycle Representative) certification preferred
Bilingual preferred

Responsibilities

Meets with patients that present as self-pay or under-insured to obtain valid insurance coverage, confirms eligibility if applicable, and/or review prior accounts to update insurance coverage information
Notifies the appropriate departments of coverage information when necessary and enters account notes into the electronic medical record
Educates, screens, and assists patients without valid insurance coverage with enrollment in programs including, but not limited to, Medicaid, other state-based and commercial-based assistance programs, and financial assistance
Work closely with Social Services team to resolve financially related barriers that prevent the safe discharge of an inpatient to either the community or next appropriate care facility
Works closely with Hennepin County DHS team to expedite applications that will assist in timely discharge
Communicates with nursing home/rehab facility/etc on pending Medicaid application to assist in our patient being accepted to their facility, also to support timely discharge
Collects monies from patients prior to admission and/or prior to discharge, including outstanding accounts receivable, advanced down payments from self-pay patients, and co-pays and deductibles from insured patients
Work with the Division of Expanded Care team to get appropriate forms and applications completed when a patient needs a State of MN disability determination
Educates patients on applicable policies, such as point of service collections, payment plans, and financial assistance eligibility during the interview process
Researches, identifies, and rectifies any special circumstances affecting delayed payment of self-pay accounts
Works in conjunction with on-site clinical care team or outside eligibility vendor to assist in the appropriate completion of Medicaid applications, ensuring this funding source is maximized based on patients’ eligibility
Continues to stay informed of any statutes and regulations that could affect the collection of receivables (i.e., insurance company changes, collection regulations, etc.)
Confers with third parties on the completion of forms, patient financial information, financial obligations, and hospital credit policy
Meet and maintain initial and ongoing MN DHS and MnSure requirements and certifications that relate to performing the job functions of a Financial Counselor
Completes procedures for filing Medicaid applications and/or other public assistance programs
Follows up with all patients and necessary entities who need to return outstanding verifications for the determination of their eligibility for an assistance program
Respond timely, accurately and professionally to patient and external and internal business partners, via phone, email, mail as appropriate
Complete, process, follow up and approve or deny all financial assistance applications for the organization