Metro Health (now the University of Michigan Health-West) is looking for Financial Counselor - Patient Financial Experience * Days - 40hrs/wk.
The financial counselor is responsible for the screening of uninsured and/or underinsured patients to identify and initiate the process for financial assistance and is responsible for helping to secure payment for the organization.
Requirements:
- High School Diploma or equivalent required.
- College education (preferred) or 2-3 years of prior experience working in a healthcare setting.
- Fair Debt Collection Practices Act knowledge preferred.
- Medical Terminology preferred.
- CPT-4 and ICD-10 knowledge preferred.
Essential Functions and Responsibilities:
- Screens patients/guarantor for financial assistance for uninsured and/or underinsured patients. Screening may be conducted during in-person consultations, by visiting patient rooms on the floors during admission, and over the phone.
- Coordinates with the Hospital MDHHS worker on the screening of patients for Medicaid. Assists patient/guarantor or family with Medicaid application as needed.
- Evaluates qualification and completion of financial assistance application. Processes and approves/denies patient financial assistance applications in accordance to established processes.
- Investigates and makes recommendations on complex cases to help secure third-party funding sources including, but not limited to, Medicaid, Medicare, no-fault/auto, workers’ compensation, COBRA, crime victims, liability, marketplace plans, and grants.
- Maintains a working knowledge of Federal, State, and local laws and regulations that impact areas of responsibility.
- Monitors and tracks Medicare; meets with patient or family regarding Lifetime Reserve days and their Medicare benefits as needed.
- Works closely with Case Management, clinical staff at clinics, and outside organizations on the resolution of financial barriers for care and to provide education on programs available to patients.
- Provides in-person and over phone consultation; assists as a liaison for billing and collection questions as needed, including helping patients set up payment plans.
- Assists with cashier tasks including, but not limited to, deposits for the organization, change orders, printing year-end documentation and UB-04 forms for patients, office mail distribution, and collecting patient co-pays, deductibles, and any outstanding balance accounts.
- Completes Epic work queues daily.
- Performs other duties as assigned. These may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures, pursuing self-directed learning and continuing education opportunities, and participating on committees, task forces, and work groups as determined by management.
