Outpatient Financial Counselor 8:30am-5pm M-F U

Boston Medical Center; Boston (MA); On-site; USD 34,000 - 43,000; Full time

Job summary

Boston Medical Center is seeking an Outpatient Financial Counselor to help vulnerable patients access healthcare coverage and preserve hospital revenue. You will guide patients through MassHealth, HSN, and Charity Care enrollment, complete CAC certification, and coordinate referrals from the Financial Counseling office.

The role emphasizes compassionate support, accurate data management, and collaboration with the PFC team to optimize eligibility outcomes and reduce uncompensated care.

Qualifications

• High School diploma with 3-5 years of customer service in healthcare or human services setting.
• Bachelor's degree strongly preferred.
• Bilingual abilities and healthcare experience strongly preferred.

Responsibilities

• Assist patients in applying for financial assistance and securing coverage.
• Educate patients on eligibility requirements and available programs.
• Update demographic information and maintain financial trackers.
• Initiate new applications and renewals; document outreach efforts.
• Act as a navigator and advocate to reduce uncompensated care.

Skills

Strong customer service

Excellent communication

Empathy & cultural sensitivity

Education

High School diploma

Bachelor's degree preferred

Tools

Epic EHR

External databases

Job description

Position

Outpatient Financial Counselor

Department

Financial Counseling

Schedule

Full Time, 8:30am-5pm M-F

Position Summary

Under the general direction of PFC Manager, the Outpatient Financial Counselor (OPFC) has a dual role to help vulnerable BMC patients to access healthcare coverage and to preserve and protect BMC revenue by securing payors to reduce uncompensated care. The OPFC serves as an advocate and navigator, assisting low-income, uninsured and underinsured patients apply for financial assistance programs and secure healthcare coverage. As a Certified Application Counselor, the OPFC will assist patients referred for financial counseling, in person or by phone, from PFC office locations on the hospital campus. Patients presenting for services, by appointment or walk-in, will be screened for eligibility and offered enrollment assistance to secure insurance coverage through MassHealth, Out of State Medicaid, HSN, or BMC’s Charity Care Program. The OPFC is responsible for initiating new applications and assisting with program renewals; for educating patients about health insurance options and eligibility requirements; and for updating patient demographic information, opening financial trackers, and documenting all efforts made to assist patients in applying for insurance coverage. The OPFC will embody BMC’s mission, vision, and values and follow policy and procedure regarding BMC’s billing and collection practices and the Certified Application Counselor Designation Agreement between BMC and MassHealth.

Education

High School diploma with 3-5 years of strong customer service experience in healthcare or human services setting required; Bachelor's degree strongly preferred. Bilingual persons and persons with hospital and/or healthcare experience strongly preferred.

Certificates, Licenses, Registrations Required

Must complete MassHealth’s curriculum for Certified Application Counselor, (CAC) and maintain certification renewal annually. Individual must complete training and obtain CAC certification within 45 days of hire date.

Experience

Work experience to include 2-3 years of strong customer service experience, preferably in a healthcare or human services setting; Bachelor's degree strongly preferred. Bilingual persons and persons with hospital and/or healthcare experience strongly preferred.

Knowledge and Skills

Demonstrates professionalism, maturity, and confidence needed to work effectively in a diverse, multi-cultural, and decentralized environment. Displays strong, consistent communication skills, (oral and written), interpersonal skill, and record keeping skills. Demonstrates knowledge and understanding of eligibility criteria and application process for programs offered through MassHealth, Health Safety Net, ConnectorCare, and BMC’s Charity Care Program. Displays strong organizational skills with ability to manage multiple tasks simultaneously; prioritize work assignments appropriately; and complete follow up task timely. Demonstrates strong work ethic and ability to meet performance goals for productivity and outcomes with minimal direct supervision. Demonstrates critical thinking and sound judgment in addressing and resolving barriers, issues, or concerns identified. Requires strong technical computer skills and proficiency in utilizing Epic and external database systems to research cases and successfully assist patients in securing active coverage. Displays exceptional customer skills and the ability to engage patients, family members, and team members respectfully, with empathy and cultural sensitivity.

Compensation

IND123 Compensation Range: $25.25- $30.78 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

Equal Opportunity Employer / Disabled / Veterans

Working at Boston Medical Center is more than a job. It’s a chance to make a difference as part of our mission to provide exceptional and equitable care to all. As a nationally-recognized leader in health equity, nursing, initiatives to combat climate change, and many other areas, BMC is dedicated to improving the health of our community in Boston and beyond. BMC’s mission to provide exceptional care without exception extends to our employees, and we have been recognized as a top employer and best place to work. A strong sense of teamwork and support for our staff are the bedrock of BMC, as we know that we can only provide exceptional care to patients when our staff are cared for too. Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e‑mail to [e-mail] or call 617-638-8582 to let us know the nature of your request. Boston Medical Center participates in the Electronic Employment Verification Program. As an E‑Verify employer, prospective employees of BMC must complete a background check before beginning their employment at the hospital. BMC requires all staff to be vaccinated against COVID-19 and flu, as well as receive a booster dose of the COVID-19 vaccine.