Description

Summary:

Financial Counselor is responsible for assisting primarily uninsured and under-insured patients as they move through the financial continuum from scheduling through claim adjudication. Financial Counselors work directly with patients to maximize reimbursement through governmental programs and alleviate patient obligations through the Organization’s Financial Assistance Program. The position requires a high degree of intellect and critical thinking skills to make appropriate decisions of a complex nature that can have a significant financial impact on the Organization. Staying abreast of ever-changing laws and regulations mandating Medicaid eligibility and adherence to the Organization’s Financial Assistance Policy are essential components of the job. The Financial Counselor works both independently and as productive members of a highly collaborative team, to secure reimbursement whenever possible, and assist our patients with qualifying for charitable assistance from the Organization when reimbursement is not feasible.

Responsibilities:

1.Refers uninsured and underinsured patients to outsourced Medicaid vendor for State and Federal governmental assistance programs when deemed potentially eligible.Helps patients gather all appropriate documentation and completes all necessary applications for Financial Assistance from Nuvance Health. Conducts interviews at bedside when feasible to ensure optimal customer service and personal attention.

2.Refers potentially qualified patients to the best source of financial assistance based on the patient’s unique financial circumstance and future medical needs.This may include performing a complex analysis of the patient’s financial liabilities.Must comprehend how the intricacies of the patient’s unique financial status relate to the regulations mandated by existing assistance programs.

3.Works in collaboration with Clinical Resource Management, providers, clinical departments, revenue cycle departments and the Insurance Verification Team to address patients’ financial needs and secures potential sources of funding. Collaborates expeditiously to ensure patients’ timely advancement through the continuum of care.

4.Performs insurance eligibility verification and executes payer requirements as needed.Includes initiating eligibility transactions via the internet, contacting the payer to obtain eligibility, benefits and billing information.Updates information to ensure that correct financial classification and information is on patients’ accounts. May discuss Medicare Lifetime Reserve days with patients or designated representatives.

5.Collects payments from patients, including prompt pay discounts and discusses payment arrangements.

6.Participates in the continuum of the life of a claim by working collaboratively with the collection departments to identify patients that may need assistance.Includes review and recommendation for bad debt based on historical patient information.

7.Stays abreast of ever changing laws and regulations mandating Medicaid eligibility.

8.Fulfills all compliance responsibilities related to the position. Maintains a high level of ethical integrity while processing applications for government funding and other assistance programs.

9.Maintain and Model Nuvance Health Values.

10.Demonstrates regular, reliable and predictable attendance.

11.Performs other duties as required.

Company: Putnam Hospital Center

Org Unit: 1025

Department: Patient Access

Exempt: No

Salary Range: $17.07 - $32.47 Hourly

We are an equal opportunity employer

Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.