Financial Counselor FT Days

Care New England Health System; Warwick; On-site; GBP 30,000 - 45,000; Full time

Job summary

A leading healthcare organization seeks a skilled financial counselor to assist patients with insurance benefits and payment plans. The role requires expertise in navigating insurance requirements and the ability to evaluate various payment sources. Ideal candidates will have at least three years of experience in health insurance, ensuring comprehensive financial guidance for patients during their care.

Qualifications

• Minimum 3 years of insurance benefit experience required.
• Epic experience and Health Insurance Navigator Certification preferred.

Responsibilities

• Explain financial requirements and insurance benefits to patients.
• Arrange payment plans and follow up with patients.
• Review patient's insurance coverage and evaluate additional payment sources.

Skills

Insurance benefit experience

Knowledge of patient liabilities

Financial planning for patients

Education

Health Insurance Navigator Certification

Epic experience

Job description

• Explain financial requirements and insurance/third party payor hospitalization benefits to the patient or responsible party.
• Interpret and provide information regarding patient’s copayment responsibilities and any applicable coinsurance, deductible, and lifetime maximums.
• Collect patient liabilities.
• Arrange and follow up on payment plans for patients.
• Apply appropriate Community Benefit and Prompt Pay discounts as applicable.
• Meet with patients who have exhausted Medicare benefits and evaluate for additional payment sources.
• Meet with patients lacking proper benefits for behavioral health services and evaluate for additional payment sources.
• Review long length of stay patients to ensure proper coverage.
• Follow up on missing insurance/financial forms identified by the Registration team.
• Complete Missed MSP questionnaire to finalize insurance billing bundle.

Special Requirements:

• Minimum 3 years of insurance benefit experience required.
• Epic experience preferred.
• Health Insurance Navigator Certification preferred.

Schedule: 40/80 Full Time Days - Mon-Fri 7am-3:30pm.

This job is a permanent replacement for a striking employee and is classified as a 'regular' employee under the National Labor Relations Act. Employment conditions are subject to hospital standards and policies.

About Care New England Health System: Care New England and its member institutions, including Butler Hospital, are committed to advancing medical research, attracting top doctors, and providing innovative health services.

EEOC Statement: Care New England is an equal opportunity employer, considering all applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

Ethics Statement: Employees are expected to conduct themselves in accordance with organizational ethical standards, including hospital policies, mission, vision, and values.

Americans with Disabilities Act Statement: Applicants and employees with disabilities must be able to perform essential job functions with or without reasonable accommodations, as determined on a case-by-case basis.