Financial Counselor

Altru Health; Grand Forks (ND); Hybrid; USD 25,000 - 37,000; Full time

Benefits offered by this job

Health plan

401(k) retirement plan

Dental plan

Vision plan

Life and disability insurance

Education assistance

Paid time off (PTO)

Job summary

Altru Health System in Grand Forks, ND, is seeking a Financial Counselor for a hybrid onsite/remote role. You will assist patients with insurance benefits, applications for assistance, and hospital programs while coordinating with internal teams to ensure accurate billing and payments.

The ideal candidate has at least 2 years of related experience, strong English communication skills, and CAC certification within 6 months of start date.

Qualifications

• 2+ years related experience
• Proficient in reading, writing, and speaking English
• CAC certification within 6 months of start date

Responsibilities

• Receives and responds to patient inquiries in person or by telephone and provides accurate processing and billing support.
• Explains insurance benefits, payments, claim submission, billing, and general Business Office procedures.
• Acts as the primary contact for customers, clinical, and support staff to resolve problems, concerns, insurance, coding, and billing questions.
• Evaluates, develops, and implements action plans to arrange payment of outstand balances.

Skills

English proficiency

Education

Associates - Business

Job description

Everything we do is underscored by a why - and that why is one another.

Location: Altru Health System PO Box 6002 Grand Forks, ND 58201

Pay Range: $17.92 - $26.88

Summary: Financial Counselors assist patients in applying for local, state, and federal assistance and are certified to assist with the Federal marketplace. They are certified in assisting patients in applying for Hospital Presumptive Eligibility through the state of North Dakota and Minnesota and assist with Altru's internal charity programs such as Community Care, Charity, and assistance through the Altru Foundation. Financial Counselors serve as liaisons between external organizations and assist in gathering documents to support eligibility and appeals. Financial counselors represent Altru's HERO program in community outreach events and work with self-pay patients to collect pre- payments while also counseling and educating patients on their insurance benefits and connecting patients with external resources when needed.

This is a hybrid role (onsite and remote), located in Grand Forks, North Dakota; subject to change based on organizational needs.

Essential Job Functions:

• Receives and responds to patient, professional, and clinical inquiries in person or by telephone and provides accurate processing and billing support.
• Explains insurance benefits, payments, claim submission, billing, and general Business Office procedures.
• Acts as the primary contact for customers, clinical, and support staff via phone calls, e- mails, and written correspondence to resolve problems, concerns, insurance, coding, and billing questions.
• Evaluates, develops, and implements action plans to arrange payment of outstand balances.
• Resolves and documents all issues and concerns that are received.
• Assists guarantors who have minimal or no insurance coverage to determine a course of action to maximize prompt payment and minimize bad debt.
• Reviews assigned inpatient admissions and visits patient and/or family members on floors to obtain required information.
• Performs account analysis and educates guarantors regarding payment issues on outstanding patient balances.
• Reviews, verifies, and evaluates demographic and third-party payer information as they are related to patient accounts.
• Processes assigned computer generated bills and posts payments and/or adjustments on assigned accounts.
• Completes documentation/paperwork for patients regarding pharmaceutical assistance programs.
• Maintains computer program related to Prescription Assistance Program.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

Certification:

Certified Application Counselor (CAC) | Health Insurance Marketplace | Within 6 Months of Start Date | HR Primary Sources Driver's License with Acceptable Driving Record | Driver's License - Current State Licensed | Prior to Start Date | HR Primary Sources

Education:

Preferred: Associates - Business

Work Experience:

Required: A minimum of 2 years Related Experience

Language Requirements:

This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Physical Demands:

• Sit: Continuously (67-100%)
• Stand: Occasionally (5-33%)
• Walk: Occasionally (5-33%)
• Stoop/Bend: Occasionally (5-33%)
• Reach: Frequently (34-66%)
• Crawl: Not Applicable
• Squat/Crouch/Kneel: Occasionally (5-33%)
• Twist: Occasionally (5-33%)
• Handle/Finger/Feel: Continuously (67-100%)
• See: Continuously (67-100%)
• Hear: Continuously (67-100%)

Weight Demands:

• Lift -Floor to Waist Level: Sedentary (< 10 pounds)
• Carry: Sedentary (< 10 pounds)
• Push/Pull: Sedentary (< 10 pounds)
• Slide/Transfer: Not Applicable

Working Conditions:

• Indoor: Continuously (67-100%)
• Outdoor: Not Applicable
• Extreme Temperature: Not Applicable

Driving Requirement Definitions:

• Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
• Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
• Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
• Infrequent Drivers: Persons who are generally not expected to drive.

Driving Requirement for this position: Occasional Driver

Reference ID: R8089

Company Culture:

Making a real difference. For one another.

To take the best care of our patients and community - including friends, family, and neighbors - we need people who are committed to growth, excellence, and one another. At Altru, you'll find a culture where support and teamwork are at the heart of what we do. You'll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.

Join our team and be a part of a small community with a big heart.

Benefits:

• Health plan
• 401(k) retirement plan
• Dental plan
• Vision plan
• Life and disability insurance
• Education assistance
• Paid time off (PTO)