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

Boston Medical Center; Boston (MA); On-site; USD 52,000 - 72,000; Full time

Job summary

Boston Medical Center is seeking an Outpatient Financial Counselor to assist patients in applying for coverage and navigating financial assistance programs. You will screen for eligibility, educate patients on options, and work toward securing insurance through MassHealth, Out of State Medicaid, Health Safety Net, or Charity Care.

As CAC-certified staff, you will initiate applications, renewals, and maintain accurate patient data while supporting access to care and hospital revenue integrity in

Qualifications

• High School diploma with 3-5 years of strong customer service experience in healthcare or human services.
• Bachelor's degree strongly preferred; bilingual and healthcare experience preferred.
• Must complete MassHealth’s curriculum for CAC and obtain CAC certification within 45 days of hire.

Responsibilities

• Help patients access healthcare coverage and secure payors; reduce uncompensated care.
• Educate patients about eligibility requirements and enrollment options.
• Initiate new applications and assist with renewals; update demographics and documentation.

Skills

Customer service

Communication skills

Cultural sensitivity

Organization

Education

High School diploma

Bachelor's degree preferred

CAC certification

Tools

Epic

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.

JOB REQUIREMENTS

• 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. 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.