Patient Financial Counselor (40hr, Evening) On-Site

Beth Israel Lahey Health; Exeter (NH); On-site; USD 30,000 - 40,000; Full time

Job summary

Beth Israel Lahey Health, Inc. seeks a Patient Financial Navigator for Exeter Hospital in Exeter, NH.

This on-site role operates the evening shift from 3:00pm to 11:30pm and focuses on MassHealth and state program screening, insurance options, payment plans, and financial assistance guidance. Under supervision, you will liaise with departments to resolve billing and coverage questions, prepare price estimates in compliance with CMS, and support patients through the Managed Care process and

Qualifications

• Excellent customer service skills and strong communication abilities.
• Must have written and oral communication and interpersonal skills.
• Working knowledge of MS Office and database systems; EPIC experience preferred.

Responsibilities

• Assist over the phone or in person to address financial matters or concerns.
• Discuss and document issues from billing notices, statements, and insurance matters.
• Explain EOBs, policies, and covered services to patients.
• Coordinate with departments to resolve financial concerns and assist with coverage for services.
• Educate and enroll patients in payment plans and assist with Financial Assistance as needed.
• Support with MassHealth/Medicaid Open Enrollment education and processing.

Skills

Customer service

Communication

Interpersonal skills

MS Office

Database systems

EPIC experience

Education

High School Diploma

Job description

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. *This role is on-site at Exeter Hospital in Exeter, NH - Evening shift: 3:00pm - 11:30pm* The Patient Financial Counselor supports patient with screening for MassHealth and other State programs such as Connector Care. Under the direct supervision of the Supervisor of Financial Counseling and leadership of the Manager of Financial Counseling, the Patient Financial Navigator acts as a liaison for patients to the health system; providing guidance and support for all financial components of healthcare; specifically focusing on billing concerns, understanding insurance options and benefits, gaps in coverage, and payment options. Additionally, the Patient Financial Navigator provides assistance with patient statements, payment plans, pricing estimates, Financial Assistance, Federal/State benefits, and the managed care process. This position supports Patient Access and both Hospital and Professional Billing areas and works in conjunction with Customer Service.

Job Description

1. Maintains annual Certified Application Counselor certification for the state of Massachusetts.
2. Assists over the phone or in person to address financial matters or concerns; discusses and documents any issues resulting from collection notices, statements, and/or other billing and insurance issues.
3. Responsible for helping patients understand their Explanation of Benefits (EOB) including insurance policies and covered services.
4. Works with departments and providers throughout the organization to ensure resolution of patient financial concerns; this includes elective, plastic, and/or low coverage or non-covered medically urgent procedure.
5. Helps coordinate services with outside stakeholders to provide necessary coverage for patients that require an enhanced coordination of benefits due to disabilities.
6. Follows established protocols ensuring appropriate financial counseling actions have been taken and communicates back to the department prior to scheduling procedures that will not be covered by insurance. This includes elective, plastic, and/or low coverage or non-covered medically urgent procedures.
7. Assists with providing timely estimates for services to patients (either orally or in writing) in compliance with CMS price transparency regulations.
8. Collects payments for self-pay patients: pre-payments and outstanding balances including copayment and deductibles, and out of pocket expenses in accordance with PFS policy and procedures.
9. Follows guidelines set forth by leadership to educate and enroll qualified patients in payment plans for outstanding or anticipated balances.
10. Screens and approves patients for Financial Assistance (Charity) by following Financial Assistance Policy guidelines.
11. Visits patients who are inpatient or in the outpatient clinics, when appropriate, to discuss coverage applications and payment options.
12. Supports patients with Masshealth/Medicaid Open Enrollment; providing education and processing necessary applications.
13. Addresses Managed Care concerns with patients who require assistance.
14. Works directly with Customer Service for resolution of financial issues including account adjustments, statement generation, or billing errors.
15. Able to travel between Burlington, Winchester, Peabody, and Beverly Hospitals.
16. Works on projects as assigned.
17. Adheres to all corporate and governmental compliance issues as directed.
18. Complies with all Cash and Collection Policies and Procedures.
19. Adheres to our Customer Service standards to provide exceptional patient service.

Education

High School Diploma required Licensure, Certification & Registration: CAC Certification preferred. CPC Certification a plus.

Experience

Excellent customer service skills. Excellent written and oral communication and interpersonal skills required. Must exhibit tact, diplomacy and discretion at all times. Must be able to multi-task and work in a fast-paced, detail oriented environment. Working knowledge of MS office suite and database systems with the ability to learn new systems as they become available. In the absence of any of these skills, must demonstrate the ability to be thoroughly trained to meet organizational standards.

Skills, Knowledge & Abilities

2-3 years experience in a Financial Counseling, Social Work, Case Work, Patient Access or Billing field preferred and a general understanding of hospital and professional billing procedures. EPIC system experience preferred.

Pay Range

$21.53 - $28.98 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled At Beth Israel Lahey Health, we are driving the change in health care that Massachusetts wants and needs. Our culture promotes continuous learning, growth, innovation and a sense of belonging. We make it a priority to offer comprehensive compensation and benefits and help you achieve a healthy and balanced life. While you're busy caring for and supporting our patients, we take care of you.