Patient Financial Counselor

Hunter Health; Wichita (KS); On-site; USD 42,000 - 54,000; Full time

Job summary

Hunter Health in Wichita, KS seeks a Patient Financial Counselor to provide patient-centered financial navigation, determine eligibility for financial assistance, and manage the Sliding Fee Discount Program in line with HRSA requirements.

The role supports Medicaid/Marketplace enrollment, offers financial counseling, and collaborates with patients, government agencies, insurers, and internal departments to facilitate access to care in a HIPAA-compliant environment.

Qualifications

• Knowledge of Sliding Fee Discount Program and income documentation.
• Experience with Medicaid and Marketplace enrollment processes.
• Ability to coordinate with patients, departments and agencies.

Responsibilities

• Educates patients about the Sliding Fee Discount Program and verifies income docs.
• Assists uninsured/underinsured with Medicaid and Marketplace enrollment.
• Coordinates with government agencies, insurers and internal teams to enable access to care.

Skills

Communication skills

HIPAA compliance

Job description

This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/13651108

Hunter Health provides all-encompassing care for the Wichita community, including medical, dental, behavioral, vision, laboratory, radiology and pharmacy services, all in one place. We pride ourselves in providing the support patients need to take control of their health and their whole wellbeing. Our Hunter Health team is at the heart of our operations. From the initial interaction with a new patient to empowering individuals with the knowledge to manage their health - it begins with each member of our staff. Regardless of role or responsibility, every team member is a valuable part of living our mission and upholding our positive work environment with our Standards of Culture. We exist to improve the health and wellbeing of *everyone* in our community.

Summary

Summary: The Patient Financial Counselor provides coordinated, patient-centered financial navigation services by helping patients obtain healthcare coverage, determining eligibility to qualify for financial assistance, and understanding their financial responsibilities. This position administers the Sliding Fee Discount Program in compliance with HRSA requirements, assists with Medicaid and Marketplace enrollment, provides financial counseling, and coordinates with patients, government agencies, insurance carriers, and internal departments to facilitate access to care. The Patient Financial Counselor functions in accordance with established federal and state standards, while complying with all grants, HIPAA, and Hunter Health Clinic (HHC) policies and procedures.

Essential Functions

• Educates patients regarding the Sliding Fee Discount Program, obtains and verifies required income documentation, and reviews applications for completeness to ensure accuracy.
• Utilizes communication skills to conduct fact-finding interviews to gather information to support documentation in determining eligibility for programs, as well as communicates financial responsibility thoroughly for patient comprehension.
• Determines eligibility for Sliding Fee Discount program according to established policies, maintains supporting documentation, conducts periodic re-verification, and ensures compliance within HRSAs grant requirements.
• Assists uninsured and underinsured patients with Medicaid, Marketplace, and other federal or state assistance program enrollment by screening eligibility, completing applications, coordinating with agencies and insurance carriers, tracking pending applications, and resolving enrollment issues.
• Educates and provides financial counseling by explaining patients financial responsibilities, discussing charges and balances, reviewing potential payment options and available assistance resources, establishing payment plans, and assisting patients experiencing financial hardship.
• Supports revenue cycle operations by identifying patients who may qualify for financial assistance or insurance coverage prior to services, reducing self-pay balances through successful enrollment efforts, collaborating with registration, billing, and clinical teams, and documenting all patient interactions accurately within the electronic health record and practice management systems.
• Maintains compliance with HIPAA, HRSA, CMS, Medicaid, , and organizational requirements by ensuring accurate documentation, participating in audits, maintaining required reports and performance metrics, and identifying potential fraud, misrepresentation, or incomplete documentation.
• Protects patient confidentiality and adheres to HIPAA.
• Travels when necessary to meet organizational needs.
• Performs other duties as assigned.

Physical And Mental Demands Of The Job

• Talking: The ability to speak clearly and effectively.
• Average Hearing: The ability to hear average conversations and respond accordingly.
• Repetitive Motion: The ability to sit, stand, walk and use hands to handle, feel and reach.
• Finger Dexterity: The ability to use fingers to make small movements such as typing, picking up objects and pinching fingers together.
• Average Visual Abilities: The ability to focus on items clearly, including close vision, color vision and the ability to adjust focus.
• Working Conditions: The ability to work in a well-lit, climate-control