Financial Counselor

Responsibilities

• Daily review of all in-patient and Emergency room self-pay patients for alternative health coverage programs such as Presumptive eligibility Medicaid coverage.
• Pre-screen uninsured and underinsured patients to identify potential financial assistance opportunities; review and interpret complex information.
• Screen self-pay patients and their family members to determine eligibility for Medicaid and other programs; conduct relevant research.
• Assist in the completion of applications for health coverage.
• Educate patients and guarantors about Riverview Health’s financial assistance program; initiate the financial assistance process with qualifying patients according to hospital policy.
• Review all financial assistance applications and either approve or deny based on eligibility requirements.
• Assist patients in completing applications for health coverage according to standards; provide unbiased and accurate information on Qualified Health Plans options to support patients in choosing the best plan for their needs.
• Provide patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility for government programs; provide support to resolve questions.
• Discuss financial arrangements for newborn(s); inform guarantors of the timeframe for enrolling a newborn in coverage, provide documentation or guidance for enrollment prior to or after the anticipated delivery date, and communicate appropriate information to registration staff as needed.
• Monitor and maintain multiple work queues as instructed and assigned; provide coverage for Customer Services phone duties as needed; follow up proactively.
• Adhere to all local, state, and federal regulations, policies, and procedures established for various government and other health coverage programs; follow hospital and department policies and procedures.
• Remain current in eligibility plans and available options for uninsured and underinsured patrons; seek opportunities for self-development and participate in process improvement initiatives.
• Assist with special projects as assigned by the Director of Patient Financial Services or Supervisor of Customer Service.
• Work independently to meet productivity goals set by management.
• Perform other duties as assigned.

Requirements

• Minimum: High School Diploma or equivalent (Preferred: Associate’s Degree).
• Minimum: Two (2) years of hospital billing experience and prior experience working with the public.
• One (1) year of financial counseling, eligibility screening, and/or Medicaid application processing experience strongly desired.
• Preferred: State Licensed Navigator certification.