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Company: UMass Memorial Health Care
Location: Leominster
Posted on: May 3, 2021

Job Description:

Title: Financial Counselor

Department: Financial Counseling - LC

Requisition #: 213275

Hours: 40

Shift: Monday through Friday 8:30am to 5:00pm

Status: Non-exempt/Hourly

Location: Leominster Campus

UMass Memorial HealthAlliance-Clinton Hospital is part of the UMass Memorial Health Care system. Serving northern central Massachusetts, we are committed to improving the health of people through excellence in care and comprehensive health services. Promoting healthy lifestyle habits, we serve as a role model by having a tobacco and smoke free campus and hiring nicotine free employees. By exploring careers with us, you are committed to giving your best to our patients, our community and everyone working on our HealthAlliance-Clinton Hospital Care Team. Whatever your career choice, know that at HealthAlliance-Clinton Hospital you can make a difference.

Position Summary:

Under the general direction of the Financial Counseling Supervisor/Manager and/or Financial Clearance Director, provides guidance and assistance to patients, various internal UMass staff, physician offices and third party vendors regarding financial assistance programs.

The Financial Counselor is charged with the responsibility of interacting with patients, the community and outside agencies in a professional manner in keeping with the Mission and Vision of UMMHC

Major Responsibilities:

Performs a variety of duties to ensure that reimbursement is obtained for medical services provided to the uninsured, and underinsured patient population.

Interviews, screens, counsels and orients the appropriate patient population and members of the community, in a variety of settings on multiple campuses, regarding available financial assistance options.

Processes all necessary paperwork and follow-up for appropriate programs according to state, federal and hospital regulations and policies.

Obtains appropriate confidential and medical information to establish eligibility for various financial assistance programs.

Facilitates patient understanding of health access options including but not limited to: eligibility rules, coverage types, products and plans available through MassHealth, the Health Connector, Medicaid Managed Care, and the Health Safety Net program.

Completes all Medical and Financial Assistance applications according to regulatory requirements, obtaining all verification for medical assistance and Financial Assistance as required by governmental regulations and guidelines.

Reviews reports and work queues to identify uninsured/under-insured patients/families (inpatient, outpatient, surgical day, psychiatric in patients, psychiatric outpatients, etc.) for the purpose of screening for assistance programs and upgrades to a richer benefit program.

Utilizes multiple software applications provided by MassHealth, the Health Connector, the Health Safety Net Office and other State and Federal Agencies for the transmission, reporting and follow-up of submitted applications.

Assists patients/families with the SNAP application and follow up process

Coordinates interviews with clinical areas, interpreters, social workers, case managers, social security outreach workers, drug assistance coordinator, enhanced benefit coordinator, care mobile, physician/provider offices and community health centers as needed.

Works in conjunction with the Care Coordination Department, social workers and the Pharmacy to ensure timely discharge planning.

Works in concert with other revenue cycle departments to determine when patient balances are eligible for Bad Debt collection activity and or adjustment.

Collects payment in full, in advance, for all non-insured, under-insured and non-covered hospital and surgical day admissions. Discusses financial obligations with patients prior to elective surgical days or admissions. Communicates all information to provider offices and verifications unit.

Documents all actions taken in the patient record.

Updates all accounts to reflect the current account status with appropriate financial class and eligibility dates.

Maintains expedited follow-up on to ensure retroactive coverage on applications for inpatient admissions. Follow up directly with MassHealth and the Health Connector.

Screen and answers calls regarding pricing, no insurance or no physician coverage, etc. and ensures all mail correspondence is answered.

Completes daily statistics summary report logs.

Recommends improvements in systems and procedures.

Complies with all established departmental policies, procedures and objectives, including but not limited to all aspects of the UMMHC Credit and Collection Policy.

Meets established productivity standards.

Facilitates and promotes the sharing of knowledge and content throughout departments.

Follows all established Hospital Billing Revenue Cycle Management departmental and compliance policies and procedures.

Takes responsibility for ensuring that all work outcomes satisfy the UMass Memorial Health System True North.

The individual must support the mission, vision, and goals of HealthAlliance-Clinton Hospital and serve as a role model for CARES values.

Adheres to change control processes.

Participates in cross training to optimize department resources.

Demonstrates excellent attendance and actively participates in a variety of meetings and training sessions as required.

Demonstrates a friendly, responsive, service-minded attitude to all internal and external customers.

Communicates ideas effectively. Shares information and keeps others properly informed. Gives, and is open to useful feedback.

Adheres to the HealthAlliance-Clinton Hospital Code of Conduct and Behavior Standards and dress code.

Complies with established environment of care/safety policies and procedures and all health and safety requirements.

Maintains and fosters an organized, clean and safe work environment.

Contributes to the development and application of process improvements.

Maintains a collaborative, team relationship with peers and colleagues in order to effectively contribute to the group's achievement of goals and to help foster a positive work environment.

Attends staff meetings and in-service programs as required or directed. Keeps current with hospital and unit changes by reading communication boards and/or books, bulletin boards, posted notices and reads and responds to e-mail messages on a regular basis.

Practices cost containment and fiscal responsibility through the efficient use of supplies, equipment, time, etc.

Complies with established departmental policies, procedures and objectives.

Attends variety of meetings, conferences, seminars as required or directed.

Demonstrates use of Quality Improvement in daily operations.

Complies with all health and safety regulations and requirements.

Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.

Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.

Position Qualifications:

High School Graduate required.

Associate or Bachelor's degree in Business, Social Services or related field preferred.

Certified Application Counselor (CAC) certification required within 3 months of hire as a condition of employment.

Minimum of 2 years of experience in Healthcare, accounts receivable, or related field required with a Minimum of 2 years of experience in Financial Counseling and/or Medical Billing preferred.

English speaking, reading and writing skills required; bilingual strongly preferred. Proficient data-entry skills with attention to detail. Effective communication and customer service skills both verbal and written.

Ability to use specialized applications software and computers systems for patient registration and scheduling. Demonstrated knowledge of business office products and medical terminology.

Holiday and/or weekend shift work, as well as after-hours coverage as required. Must provide own transportation.

Ability to work in high volume, team-oriented environment. Ability to take directions and work independently.

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Department-specific competencies, including age-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.

Requirements, cross campus coverage- Leominster and Clinton campus and evening outreach. This coverage may be assigned last minute due to staffing levels. May be required to remain after shift ends to complete the application process with a patient. Must have own transportation

Extensive face to face contact with patients. Extensive telephone contact with patient as government agencies to resolve health insurance coverage issues. Demonstrates knowledge of various government Medical Assistance Programs, and mandatory Massachusetts Application Counselor certification within 3 months of hire.

Keywords: UMass Memorial Health Care, Leominster , FINANCIAL COUNSELOR, 40 Hours, DAYS, Other , Leominster, Massachusetts

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