Financial Counselor

1100 Baystate Administrative Svc.; United States; On-site; USD 26,000 - 34,000; Part time

Job summary

Baystate Health is seeking a Financial Counselor at Baystate Franklin Medical Center in Greenfield, MA. The role focuses on guiding uninsured and underinsured patients through state insurance and financial assistance programs, assisting with applications, and educating patients on benefits and self-pay balances.

Responsibilities include screening for program eligibility, aiding with MassHealth and related applications, and coordinating with case managers to maximize coverage while maintaining

Qualifications

• Customer service experience or equivalent.
• Proficiency with Microsoft Office Suite.
• Knowledge of insurance and financial assistance programs is helpful.

Responsibilities

• Screens uninsured and underinsured patients for eligibility for grant-funded and government-sponsored programs and assists patients in obtaining appropriate financial sponsorship.
• Assists patients with completing MassHealth, DDU, and other Financial Assistance applications.
• Educates patients about insurance benefits and self-pay balances.
• Tracks application status and ensures required documentation is complete.
• Collaborates with case managers to obtain the most comprehensive coverage.

Skills

Microsoft Office Suite

Education

GED or HiSET

CMS Application Counselor Certificate

Job description

Financial Counselor

Location: Baystate Franklin Medical Center, Greenfield, MA; Hours: 32 hours per week

Summary Under the direction of the Financial Counselor Supervisor and Manager, the Financial Counselor provides financial counseling services to uninsured and underinsured patients in assigned inpatient and outpatient settings. This role guides patients through available state insurance and financial assistance programs, provides certified assistance with applications, and educates patients about insurance benefits and self-pay balances.

Job Responsibilities

• Screens uninsured and underinsured patients for eligibility for grant-funded and government-sponsored programs and assists patients in obtaining appropriate financial sponsorship.
• Identifies Medicare patients without secondary insurance, assists with applications for supplemental coverage, and ensures all required billing information is obtained for liability cases and newborn coverage.
• Assists patients with completing MassHealth, DDU, and BHS Financial Assistance applications.
• Helps approved patients select an appropriate plan and assists denied patients with redetermination efforts.
• Tracks application status to facilitate and expedite the approval process.
• Reviews and updates patient and guarantor demographic, financial, and insurance information in appropriate systems.
• Ensures all information collected meets requirements for third-party claim submission and thoroughly documents significant account activity.
• Maintains current knowledge of resources available to uninsured and underinsured patients and makes appropriate referrals as needed.
• Collaborates with case managers, social workers, and nursing units regarding eligibility requirements and patient benefits to obtain the most comprehensive coverage and financial sponsorship possible.
• Maintains knowledge of payer guidelines related to benefits, eligibility, and authorization requirements through web portals and direct communication with insurance carriers.
• Meets established productivity standards for the position and maintains an account accuracy rate of at least 97%.
• Demonstrates proficiency in the computer programs and systems required for the position.
• Completes and maintains Certificate for Application Counselors through Centers for Medicare & Medicaid Services.

Required Work Experience

Customer service experience or equivalent experience.

Skills and Competencies

• Proficiency with Microsoft Office Suite.

Education

GED or HiSET (Required)

Certifications

Compensation

Compensation Note

The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees. Minimum - Midpoint - Maximum $19.29 - $22.16 - $25.87

Equal Employment Opportunity Employer

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

About Baystate Health

Baystate Health (BH) is one of New England’s leading and largest integrated health care organizations, serving a population of nearly one million people throughout western New England. With roots dating back to the founding of Springfield City Hospital in 1873, Baystate Health has been providing high-quality and compassionate health care in western Massachusetts for more than 145 years. With more than 12,000 employees, a medical staff of nearly 3,100 physicians, and a net patient service revenue of more than $1.4 billion, the ever-growing health system includes five Massachusetts hospitals and the Baystate Mary Lane Outpatient Center in Ware: Baystate Medical Center in Springfield Baystate Children’s Hospital (located at Baystate Medical Center) Baystate Franklin Medical Center in Greenfield Baystate Wing Hospital in Palmer Baystate Noble Hospital in Westfield